Medicare Tele-Sales Representative

Health New England

  • Springfield, MA

  • Permanent

  • Full-time

SUMMARY: The Medicare Tele-Sales Representative is a licensed Medicare Sales agent, whose primary role is to induce enrollments and close sales activities for the individual Medicare, representing Health New England in all Medicare Tele-Communication Sales and activities.


  • Acts as the primary contact, via outbound calls, for all Medicare prospects
  • Sells via in-bound or out-bound calls, business reply cards, emails, phone, online click to chat, “Yes for Call Back” or other communication vehicles Medicare products, benefit choices, policies and procedures with all Medicare prospects
  • Screens enrollment applications to ensure they are ready to enroll and properly transfer to telephone enrollment
  • Follows up on any prospect applications submitted, where the individual is missing information and/or where Part A and Part B is not in place
  • Tracks all leads in the sales tracking system (Market Prominence)
  • Responds to inquiries, generating appointments for field agents, follows-up on phone leads and referrals
  • Signs prospects up for community Medicare Sales Sessions and sends material as requested
  • Responds to Center for Medicare and Medicaid Services secret shopper and test calls
  • Welcomes new members with monthly welcome calls and provides key information on their plan benefits plan, utilization guidelines, and encourages annual routine physicals, etc.
  • Serves as the primary contact for external broker inquiries about plan benefit and features, enrollment processes, sales processes, and member questions or concerns
  • Conducts all sales and activities in full compliance of State and Federal regulations and requirements


Associate’s degree (bachelor’s degree preferred) in marketing, business, or a business-related field with a minimum of three in health or managed care sales, or two years of inside direct sales or telemarketing experience in a health insurance environment and/or two years of customer service experience, or an equivalent combination of education and experience. Massachusetts Health Insurance Producer license and state mandated CEU’s is required.

  • Proven record of AHIP and Fraud, Waste and Abuse annual compliance
  • Must have excellent oral and written communication skills
  • Strong computer skills, including but not limited to MS office suite, Word, Excel, Outlook, PowerPoint
  • Working knowledge of CMS Marketing & Communication Regulations
  • Ability to identify, develop, and implement process improvements
  • Understanding and functional knowledge of health insurance, including medical and pharmacy benefits
  • Detail oriented and possess strong interpersonal skills
  • Knowledge of general office procedures
  • Demonstrated willingness to assist in any necessary duties to help meet department objectives


Works in a standard office-based environment; non-standard hours are a common occurrence.

Health New England

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