Contract Administrator Senior – Specialty Products
About The Position
The Contract Administrator Senior is responsible for researching, writing, filing, and implementing complex policy and certificate forms for group and individual major medical, ancillary, long-term care, and HMO products. The role creates and maintains policy and certificate documentation, supports contract development through data analysis, and helps ensure products comply with state and federal laws. The position works independently and with specialists, attorneys, and external vendors to analyze and resolve complex issues. It includes filing documents with state departments of insurance, monitoring legislation, recommending and participating in compliance review processes, and providing primary compliance review of marketing materials and product advertising. The role also manages or participates in projects and corporate initiatives, administers electronic publishing systems and Access databases, and provides technical direction for interface programs. The position is hybrid, requiring associates to work in-office one to two days per week. Candidates generally must live within commuting distance of an office, subject to accommodations required by law.
Requirements
- BA/BS in a related field and at least 3 years of related experience, or an equivalent combination of education and experience.
- Work location requires in-office attendance one to two days per week; candidates must generally reside within commuting distance of an office unless an accommodation is granted.
Nice To Haves
- Knowledge of the SERFF filing system.
- Knowledge of IDPS (internal document posting system).
- Knowledge of WDS/DDS.
- Microsoft Excel skills.
- Experience operating AI tools such as ChatGPT and/or Spark.
- Knowledge of Spider/Availity.
Responsibilities
- Create and maintain documentation for individual and group certificates and policies.
- Work independently and with specialists, attorneys, and outside vendors to identify and resolve complex issues through analysis and testing.
- Ensure products comply with state and federal laws.
- File documents with state departments of insurance for approval.
- Monitor state and federal legislation affecting company products.
- Recommend compliance review processes and participate in compliance efforts.
- Provide primary compliance review of marketing materials and product advertising.
- Manage projects and/or participate in corporate initiatives.
- Administer the electronic publishing system and Access databases, including providing technical direction for interface programs.
- Compile and analyze data in support of contract development.
- Identify new legislation affecting company products and research regulatory issues.
- Recognize missing critical information and identify ambiguities or contradictions that require clarification.
- Convert legal information into easy-to-read narrative.
- Correspond with state insurance departments, internal clients, and others.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase plan.
- 401(k) contribution and match.
- Merit increases.
- Paid holidays.
- Paid Time Off.
- Incentive bonus programs, unless covered by a collective bargaining agreement.
- Medical insurance.
- Dental insurance.
- Vision insurance.
- Short- and long-term disability benefits.
- Life insurance.
- Wellness programs.
- Financial education resources.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
