Group Health Insurance Coordinator Job Description [Updated for 2025]

In today’s health-conscious society, the role of a Group Health Insurance Coordinator is of paramount importance.

As healthcare evolves and regulations change, there is an increasing demand for professionals who can manage, oversee, and optimize health insurance plans for groups.

But what does a Group Health Insurance Coordinator actually do?

Whether you are:

• A job seeker looking to understand the core responsibilities of this role,
• A hiring manager aiming to recruit the perfect candidate,
• Or simply curious about the behind-the-scenes of group health insurance coordination,

You’ve come to the right place.

Today, we present a customizable Group Health Insurance Coordinator job description template, designed for seamless posting on job boards or career sites.

Let’s dive right into it.

Group Health Insurance Coordinator Duties and Responsibilities

Group Health Insurance Coordinators oversee and manage the company’s group health insurance programs.

They serve as the primary contact for insurance providers and employees, ensuring that the plans comply with the latest legal requirements and meet the employees’ needs.

The duties and responsibilities of a Group Health Insurance Coordinator include:

• Administering the group health insurance plans and programs
• Interacting with insurance providers to negotiate coverage plans and rates
• Processing insurance enrollments, changes, and terminations
• Assisting employees with their insurance-related queries and claims
• Verifying insurance coverage, eligibility, and benefits for employees
• Coordinating with HR to educate employees about their health insurance benefits
• Maintaining accurate and up-to-date records of insurance plans and policies
• Ensuring compliance with federal, state, and local insurance laws and regulations
• Resolving any discrepancies or issues between the insurance provider and the employees
• Coordinating and managing open enrollment periods for employees
• Preparing and presenting reports on the status and performance of health insurance programs

 

Group Health Insurance Coordinator Job Description Template

Job Brief

We are looking for a dedicated Group Health Insurance Coordinator to manage our organization’s group health insurance policies.

The Group Health Insurance Coordinator’s responsibilities include liaising with insurance providers, educating employees about their health insurance options, and ensuring all paperwork is completed and submitted correctly.

Our ideal candidate is detail-oriented, has experience in health insurance coordination, and possesses a solid understanding of healthcare laws and regulations.

Ultimately, the role of the Group Health Insurance Coordinator is to ensure that our organization and employees have the appropriate health insurance coverage.

 

Responsibilities

• Coordinate and manage all group health insurance activities
• Maintain relationships with insurance providers and negotiate contracts
• Inform employees about their health insurance benefits and options
• Ensure all health insurance documents are accurately completed and submitted on time
• Resolve any issues or discrepancies with health insurance policies
• Stay updated on changes in healthcare laws and insurance regulations
• Prepare and present reports on insurance activities
• Conduct regular audits to ensure compliance with insurance providers and regulations
• Assist in budget preparation and expense management activities related to health insurance

 

Qualifications

• Proven work experience as a Health Insurance Coordinator or similar role
• Knowledge of health insurance contracts and medical billing procedures
• Strong understanding of healthcare laws and insurance regulations
• Excellent negotiation and communication skills
• Strong organizational and multitasking abilities
• Proficiency in Microsoft Office Suite and healthcare management software
• A bachelor’s degree in healthcare administration, business administration, or relevant field

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Group Health Insurance Coordinator
• Work Environment: Office setting with options for remote work. Some travel may be required for meetings with insurance providers.
• Reporting Structure: Reports to the Human Resources Manager or the Benefits Administrator.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $45,000 minimum to $75,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Group Health Insurance Coordinator Do?

Group Health Insurance Coordinators typically work for insurance companies, healthcare institutions, or large corporations that provide health insurance benefits to their employees.

They can also work as independent consultants.

Their primary responsibility is to manage and oversee the group health insurance policies of an organization.

They work closely with insurance providers to negotiate coverage plans, premiums, and benefits that best suit the needs of the group they represent.

Group Health Insurance Coordinators are tasked with ensuring that all eligible members of the group are enrolled in the health insurance plan.

They process applications, maintain records, and communicate regularly with group members regarding their coverage and benefits.

They also handle claims disputes, assist with policy renewals, and conduct regular reviews of the insurance plan to ensure it remains competitive and cost-effective.

In case of changes in the insurance policy, they are responsible for communicating these changes to all insured members.

In addition, Group Health Insurance Coordinators often conduct educational sessions or workshops to help group members understand their insurance benefits, how to file claims, and the importance of maintaining health insurance coverage.

Overall, their goal is to manage and coordinate the group health insurance program efficiently and effectively, ensuring the satisfaction of the group members while adhering to insurance regulations and guidelines.

 

Group Health Insurance Coordinator Qualifications and Skills

A Group Health Insurance Coordinator should possess a combination of industry knowledge, technical skills, and interpersonal skills to efficiently manage health insurance policies and claims, such as:

• Knowledge of health insurance policies, procedures, and regulations, with a focus on group health insurance schemes.
• Excellent organizational skills to manage multiple tasks, such as updating insurance records, processing claims, and coordinating with healthcare providers.
• Strong attention to detail and analytical skills for assessing insurance claims, verifying policy details and confirming coverage eligibility.
• Superior communication skills for liaising between insurance companies, healthcare providers, and policyholders, explaining complex insurance terms and conditions in an understandable manner.
• Problem-solving skills to address insurance-related issues and disputes, such as claim denials or coverage questions.
• Interpersonal skills to build and maintain positive relationships with stakeholders and provide excellent customer service to policyholders.
• Proficiency in using insurance management software and basic computer applications.

 

Group Health Insurance Coordinator Experience Requirements

Candidates for the role of Group Health Insurance Coordinator often have a background in health administration or a related field.

At the entry level, they may have 1 to 2 years of experience, usually gained through internships, part-time roles, or administrative positions within a healthcare organization.

In these roles, they would learn the ins and outs of insurance coordination, claims processing, and customer service.

They may also gain experience in using health information systems and software, which is critical to efficiently managing group health insurance.

Candidates with more than 3 years of experience are often considered more seasoned and may have worked in more specialized roles such as Health Insurance Specialist, Benefits Administrator, or Claims Analyst.

Those with more than 5 years of experience may have leadership experience, having managed a team or coordinated a large-scale group health insurance plan.

They may be well-versed in complex health insurance issues, policy development, and strategic planning, and could be ready for a managerial or supervisory role.

In addition to these experience requirements, all candidates for the role of Group Health Insurance Coordinator should have a solid understanding of health insurance laws and regulations, as well as excellent communication and organizational skills.

 

Group Health Insurance Coordinator Education and Training Requirements

A Group Health Insurance Coordinator typically holds a bachelor’s degree in a relevant field like business administration, health administration, human resources, or finance.

The job often requires a solid understanding of health insurance policies, including the complexities of various health insurance plans and systems.

Therefore, coursework in health law, insurance, and healthcare management can be beneficial.

Experience in the insurance industry is often preferred.

This can be acquired through internships or entry-level roles in insurance companies, health care facilities, or human resources departments.

Many employers also require Group Health Insurance Coordinators to hold a license in health or life insurance, which involves passing a state-issued exam.

The prerequisites for these licenses vary by state, but generally, candidates must be 18 years or older and have completed specific education requirements.

Continuing education is important in this role as insurance regulations and health care laws often change.

As such, many coordinators opt to pursue advanced degrees or certifications in health insurance or healthcare management.

Moreover, strong communication and analytical skills are essential, as the role often involves explaining complex insurance policies to employees and analyzing various group health insurance plans.

 

Group Health Insurance Coordinator Salary Expectations

The average salary for a Group Health Insurance Coordinator is approximately $56,375 (USD) per year.

However, this can vary significantly based on factors such as the individual’s professional experience, qualifications, and the location of employment.

Some established firms may offer higher compensation.

 

Group Health Insurance Coordinator Job Description FAQs

What skills does a Group Health Insurance Coordinator need?

A Group Health Insurance Coordinator should have strong communication and interpersonal skills for interacting with employees, insurance providers, and third-party administrators.

They should possess organizational and multitasking skills to manage multiple policies and claims at once.

Understanding of health insurance terms, laws, and regulations is also critical.

Moreover, they should have strong analytical skills to evaluate and compare different insurance plans.

 

Do Group Health Insurance Coordinators need a degree?

Most employers prefer a Group Health Insurance Coordinator to have a bachelor’s degree in Business Administration, Human Resources, or a related field.

Having a certification in health insurance or benefits coordination can be an added advantage.

However, considerable experience in the field can also be acceptable for some employers.

 

What should you look for in a Group Health Insurance Coordinator resume?

Look for a bachelor’s degree in a relevant field and any certification related to health insurance or benefits coordination.

Check for experience in managing group health insurance policies, dealing with insurance providers, handling claims, and answering employee queries.

Also, look for skills such as communication, organization, and analytical skills, and knowledge of health insurance laws and regulations.

 

What qualities make a good Group Health Insurance Coordinator?

A good Group Health Insurance Coordinator is detail-oriented and is efficient in managing multiple tasks simultaneously.

They have strong negotiation skills that enable them to procure the best insurance deals for the group.

They are patient and empathetic while dealing with employee queries and concerns about their health benefits.

A good Coordinator also stays updated with changes in health insurance laws and regulations.

 

Is it difficult to hire a Group Health Insurance Coordinator?

The difficulty in hiring a Group Health Insurance Coordinator lies in finding a candidate who is knowledgeable in health insurance laws and regulations, and has experience in managing group health insurance policies.

It’s also important to find someone with strong interpersonal skills to handle queries and concerns from employees.

Offering competitive salaries and benefits can attract suitable candidates.

 

Conclusion

And there you have it.

Today, we’ve delved into the intricate details of what it truly means to be a Group Health Insurance Coordinator.

Surprise, surprise!

It’s not just about coordinating benefits.

It’s about constructing a healthier future, one healthcare plan at a time.

Armed with our reliable group health insurance coordinator job description template and real-world examples, you’re ready to take the next step.

But why put a limit there?

Explore further with our job description generator. It’s your secret weapon for crafting precision-based listings or refining your resume to absolute perfection.

Remember:

Every coordinated benefit is a part of a larger healthcare system.

Let’s shape that future. Together.

How to Become a Group Health Insurance Coordinator (Complete Guide)

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