Underwriting Administration Specialist

Medical MutualCleveland, OH

About The Position

Supports health insurance sales and underwriting teams with administration of new and existing accounts in one or more of the following assigned market segments: large or small group, individual, government programs. Reviews and processes new group and benefit changes in accordance with departmental policies and procedures. Ensures accurate coding of account worksheets and other documents to reflect proper rates and terms, as well as compliance with underwriting regulatory requirements/laws. Reviews and processes new submissions for all channels within the Small Group Market Segments, ACA Individual, Medicare Supplement and Short-Term Individual policies for completeness and compliance with underwriting regulatory requirements/laws, if applicable. Responds to underwriting and administrative email and telephone inquiries. Handles workflow distribution involving multiple departments and mailboxes per established procedures. Establishes and maintains work logs and records needed for management reporting. Performs other duties as assigned.

Requirements

  • Associate Degree in Business or Healthcare Administration or related field or equivalent combination of experience, training, and education.
  • 3 years health plan sales or operations experience or equivalent customer service or office support experience in health care or financial services.
  • Knowledge of standard office procedures and equipment operation (multi-function copier, multi-line phone, etc.)
  • Intermediate Microsoft Office (Word, Excel) and general database management/reporting skills.
  • Knowledge of health insurance products and underwriting operations.
  • Basic knowledge of general health plan regulations.
  • Good math skills.
  • Good customer service skills.

Responsibilities

  • Reviews and processes new group and benefit changes in accordance with departmental policies and procedures.
  • Ensures accurate coding of account worksheets and other documents to reflect proper rates and terms, as well as compliance with underwriting regulatory requirements/laws.
  • Reviews and processes new submissions for all channels within the Small Group Market Segments, ACA Individual, Medicare Supplement and Short-Term Individual policies for completeness and compliance with underwriting regulatory requirements/laws, if applicable.
  • Responds to underwriting and administrative email and telephone inquiries.
  • Handles workflow distribution involving multiple departments and mailboxes per established procedures.
  • Establishes and maintains work logs and records needed for management reporting.
  • Performs other duties as assigned.

Benefits

  • Laptop, monitors, keyboard, mouse and headset provided.
  • On-site fitness centers or gym membership reimbursement.
  • On-site cafeteria.
  • Discounts at many places.
  • Opportunity to earn cash rewards for shopping with customers.
  • Business casual attire, including jeans.
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Medical, dental, vision, life and disability insurance.
  • Employee Assistance Program.
  • Company holidays.
  • Up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • Parental leave for eligible employees who become parents through maternity, paternity or adoption.
  • Career development programs and classes.
  • Mentoring and coaching.
  • Tuition reimbursement up to $5,250 per year.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.
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