Texicare

• Respond to inquiries from members, providers, and brokers, delivering timely, accurate, and high-quality service. • Phone will be the primary channel of communication, with some use of email and chat as well. • Manage the end-to-end lifecycle of inquiries, ensuring clear communication, thorough follow-up, and complete resolution. • Research and resolve issues related to benefits, eligibility, claims status, billing discrepancies, and cost-sharing. • Interpret plan documents, policies, and internal guidelines to provide clear and accurate guidance. • Initiate and track claims adjustments, reprocessing, or escalations in accordance with established procedures. • Identify root causes of issues, address underlying needs, and recommend process improvements. • Document all interactions in the CRM system (Salesforce) in compliance with HIPAA, privacy, and audit requirements. • Collaborate with cross-functional teams to validate data, resolve issues, and address systemic challenges. • Regularly work a schedule of 8:00 a.m. to 5:00 p.m. Central time, Mondays through Fridays. • Serve as an escalation point for complex or sensitive inquiries, ensuring effective and timely resolution. • Act as a subject matter expert, providing guidance on complex benefits, claims, and policy scenarios. • Lead cross-functional coordination to resolve high-impact issues and drive sustainable solutions. • Mentor and support team members through coaching, training, and knowledge sharing. • Contribute to quality assurance and continuous improvement efforts, modeling best-in-class service delivery.

About Texicare Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas. Texicare is committed to changing the healthcare landscape by providing small businesses with innovative solutions that increase access to easy-to-use, more affordable, quality health care for Texans and their families. Texicare’s vision is to transform the healthcare ecosystem for the better, helping to create a healthier and happier Texas.  Our healthcare plans were designed to be used, to remove barriers to care, to truly make a difference in people’s lives. We’re looking for passionate, mission-driven individuals to join us in creating a healthier and happier Texas. Position Summary As an Account Executive with Texicare, you will serve as a strategic partner to agents, driving the retention and organic growth of our group insurance portfolio. You will join a dynamic and passionate team that is transforming the health insurance landscape by delivering innovative and affordable products and services to small businesses in Texas. Your primary focus will include providing excellent service and support to clients in West Texas (El Paso), retaining and growing the business, and building and maintaining long-term relationships with agencies. You will also collaborate closely with the Sales Executives and the Sales Enablement team to ensure smooth and seamless customer experience. To excel in this role, you must be a results-oriented individual with a strong understanding of the health insurance industry and a proven track record of managing insurance accounts. Essential Job Functions In this role, you will: Retain and expand existing group insurance business by providing excellent service and support. Build and maintain long-term partnerships with agencies to ensure Texicare remains a carrier of choice. Lead the annual renewal cycle for all assigned accounts, delivering rate updates and plan options in a clear and timely manner. Collaborating with the Sales Executives and the Sales Enablement team to facilitate a seamless transition from new sales to ongoing account management. Resolve complex inquiries and service issues by identifying root causes to prevent recurring administrative burdens for the group. Conduct plan reviews with agents and clients to ensure an excellent member experience. Provide comprehensive training and support to agents regarding product portfolios, digital tools, and internal processes. Manage account activities, renewal pipelines, and relationships within Salesforce CRM. To be successful in this role, you must have: Benefits Automatic 4% employer contribution to retirement plan 401k plan with 100% match up to 6% Flexible time off for vacation, illness, etc. Nine paid holidays Day one health, Rx, vision, and dental insurance Life and disability insurance Flexible spending account Pet coverage and pet Rx discounts Free identity theft protection Free 2nd medical opinion service Location This role will service West Texas (El Paso). We estimate 25% travel time within the territory, with the remainder spent working remote in Texas. Texicare offers a flex-hybrid environment centered around collaboration and connection. All employees must reside in Texas. Team members living in the Austin area are expected to work from our office at least two days per week. Those based outside the greater Austin area may work remotely within Texas, with occasional travel to Austin as needed. Texicare is an equal opportunity employer.