Medicare ACA Specialist

 Posted 5 days ago
     
⭐ 0-2 years experience
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AI Summary

Conduct inbound phone consultations to guide individuals through Medicare and ACA coverage options. Assist clients with enrollment processes while ensuring compliance with CMS and marketplace regulations.

At Core Value Insurance Group (CVIG), we don't just offer jobs-we build careers. We are currently seeking driven individuals to join our team as Medicare ACA Specialists, helping clients nationwide with Medicare and Affordable Care Act (ACA) enrollments over the phone. CVIG offers remote opportunities across the U.S., as well as in-office roles for those in the Philadelphia area.

With years of experience in the Medicare and ACA marketplace, CVIG is expanding its team of specialists. Unlike most brokerages, we provide more than just salary and commission-our agents earn renewals on their clients, creating long-term stability for CVIG, its clients, and its agents. We also provide best-in-class systems, training, coaching, and a family culture that promotes holistic prosperity.

This is not a cold-calling position. Specialists are provided with a steady stream of inbound, high-intent leads from individuals actively seeking coverage. If you're motivated to learn, eager to grow, and want to join a mission-driven, family-owned team, this is your opportunity.

Responsibilities

  • Conduct inbound phone consultations with individuals seeking Medicare or ACA coverage guidance.
  • Recommend coverage options tailored to clients' health, lifestyle, and financial needs.
  • Assist clients with enrollment through the Federally Facilitated Marketplace (FFM) and Pennie (PA marketplace).
  • Guide clients through subsidy eligibility, income verification, and plan comparisons.
  • Build lasting client relationships through exceptional service and ongoing support.
  • Accurately document client interactions in CRM systems while maintaining compliance with CMS and ACA regulations.
  • Support clients during Open Enrollment Periods (OEPs), Annual Enrollment Periods (AEPs), and Special Enrollment Periods (SEPs).
  • Stay current with marketplace and Medicare updates, compliance standards, and carrier requirements.
  • Contribute positively to a collaborative, family-oriented team culture.

Experience and Requirements

  • FFM (Federally Facilitated Marketplace) Certification required.
  • Experience with Pennie (Pennsylvania's marketplace) required.
  • 1+ year of experience selling Medicare and/or ACA products, with one full AEP or OEP completed.
  • Active Health Insurance License (Life License preferred but not required).
  • Strong understanding of health insurance terminology (deductibles, formularies, networks, etc.).
  • Proven ability to explain complex coverage options in a clear, client-friendly way.
  • Experience with electronic enrollment platforms and CRM tools.
  • Clean, professional, and controlled at-home working environment.
  • Bilingual (Spanish/English) preferred but not required.
  • Driven, competitive personality-CVIG is seeking top performers.

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