We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE: Under supervision of Manager, reviews and evaluates existing benefit patterns or benefit offerings on groups of 2 and greater contracts to ensure that the corporation is competitive in the marketplace while protecting the financial integrity of the company. Will also be accountable for complying with all laws, regulations and company procedures associated with duties and responsibilities. NATURE AND SCOPE: Position Location: This position reports to the Manager in Underwriting. Activities of Direct Reports: This position has no reports. Necessary Contacts: In order to effectively fulfill this position, the employee must be in contact with: Marketing, Accounting, Actuarial, Legal, Claims, Enrollment and Billing, Compliance, Financial Investigations, Southern National Life (SNL), Business Engineering Team (BET), Pharmacy and Blue Benefit Services (BBS). QUALIFICATIONS: Bachelor's degree in Math, Finance or related field is required. May accept four (4) years of related experience in lieu of degree. Insurance related professional courses (HIAA, LOMA, and CEBS tests passed or scheduled for the near future) is preferred. Two (2) years of experience in the insurance industry is preferred. Must have excellent organizational, mathematical, communication and interpersonal skills. Must be able to prioritize multiple responsibilities, be detail oriented and remain diplomatic in a variety of situations while handling multiple tasks simultaneously. Knowledgeable of relevant software (MS Office Suite) and Facets preferred. ACCOUNTABILITIES & ESSENTIAL FUNCTIONS: Provides the evaluation and analysis of risks, calculates financial products available for group business contracts two 2-99 in conjunction with the Company's current financial position and direction. Performs general risk assessment and quotes for groups with premium value less than $1,000,000 without management approval. Risk assessments greater than $1,000,000 requires management over site. Verifies a group and its members are eligible entities for coverage under current BlueCross BlueShield of Louisiana contract provisions, ensuring use of compliant materials and validating that all rating action is compliant to Federal and State laws. Prepares and distributes all necessary documentation for a standard renewal or proposal package. Additionally, must be able to assist in the preparation and distribution of a Formal Request for Proposal. Serves as the initial contact in the negotiation process with Marketing Personnel when necessary and in conjunction with the Company's current financial position and direction. Evaluates and resolves non-standard requests and/or exceptions when beyond the normal realm of contract language requiring Underwriting's approval. Serves as the initial contact providing the decision support activities for all levels of Management. This primarily involves providing the research and making recommendations. The physical demands described here are representative of those that must be met by an employee to successfully perform the accountabilities (essential functions) of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact [email protected] for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results. Company Mission To improve the health and lives of Louisianians. Company Vision To be the market leader that delivers unsurpassed value to our customers through partnerships across the healthcare system. Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana Health Service & Indemnity company and is an independent licensee of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of Louisiana is licensed to sell products only in the state of Louisiana.
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Job Type
Full-time
Career Level
Entry Level