POSITION PURPOSE: Support Medical Underwriting team by consistently providing timely and efficient response to our customers and members. Provide a broad spectrum of administrative support to Medical Underwriters to expedite the review and approval of health insurance applications. Problem resolution skills and ability to address concerns that is in the best interests of both the agent/client and our organizationQualificationsESSENTIAL JOB DUTIES AND RESPONSIBILITIES: Ability to review and approve non-medical risk as per the guidelines established by the medical underwriting team. Including but not limited to prior insurance coverage research, request of medical records and follow up with physicians offices, medical facilities and distributors. Effective and timely follow up of pending items with agents and underwriting doctors to ensure approval of pending applications within time stipulated. Effectively and timely communicate underwriting responses to agents. Review pending reports on a daily basis to ensure that pending items are answered within the time stipulated in the level service agreements provided to agents. Communicate in an effective and professional manner to all agent/member inquiries. Commitment to respond immediately to any client concerns, needs, questions or problems. Ensure appropriate follow up occurs Answer agent/members questions regarding our product and services. Ensure proper information is communicated to agents/members on declined coverage and/or exclusions. Manage difficult situations and handle complaints effectively. Proactively identify issues related to delays in response time. DESIRED MINIMUM QUALIFICATIONS: Education and Experience: Experience in the insurance and/or healthcare industry Minimum of 2 years customer service experience Proficiency with Microsoft Office Necessary Knowledge: /Skills Knowledge of Medical terminology a plus Good oral and written skills in both English and Spanish Well organized, with good attention to detail Good judgment and problem-solving skills Flexible, proactive, and self-motivated Effective planning, organization and time managements skills Flexible, proactive, and self-motivated Team player
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed