Job Description: Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.
Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Responsible for accurate and reliable underwriting activities for all lines of business. Generate insurance proposals, renewals, and other insurance plan related reports, quotes, settlements, etc., for the Marketing and Actuarial Services Departments. Provide some database maintenance services to the Marketing and Actuarial Services Departments. Provide assistance to marketing, agents and the Sales Administration Team on Group and Individual.
Apply established formulas and guidelines for timely and accurate rating of existing and prospective insurance contracts.
Process insurance plan proposals, renewals, alternate and optional quotes, settlements, ASO contracts, and declinations. Make necessary computations from information contained in company software and database applications, prepare all supportive documentation, assemble final information and documents properly, and distribute finished items to the proper individuals.
Produce and maintain charts, tables, the Actuarial Services Manual, and other various Actuarial Services documents, under the direction of supervisor.
Update/maintain underwriting manuals/procedures, CRM(Customer Relationship Management) entry, other system software entry(where appl) and prepare reports related to underwriting.
Assist with screening individual applications, review group quote requests, group applications, and member applications and obtain missing information for the Client Services Representatives.
Review sold and renewing groups for missing information
Provide support to the Marketing Department, brokers, and agents by offering technical expertise regarding rating and benefit evaluation.
Provide information or requests information from group policy administrators, agents and other internal or external customers in a prompt, professional, and courteous manner.
Provide backup support for other Actuarial Services Department functions when necessary.
Underwriting assistance for large claims diagnosis/prognosis and cost analysis utilizing HCS assistance when necessary
Small and Large Group Quote preparation from sales input queue. Interact with agents and their assistants to obtain missing information, update agent submitted censuses for entry and prepare quote for underwriter.
Assist with any state or federal regulatory auditing by researching and gathering requested information.
Assist outside agents with inquiries regarding policies, procedures, plans, creating requests for proposals, provider directories, census reports, and other needs within knowledge expertise. Research and resolve agent and group problems, following up within 24 hours.
Meet department and company performance and attendance expectations.
Perform other duties as assigned.
Work Experience: At least 2 years of group underwriting experience in the health insurance industry including but not limited to, the preparation of health insurance industry documents and data entry. Preference for underwriters with proposal experience, medical underwriting and risk adjustment methods.
Education, Certificates, Licenses: Bachelor's degree preferred or equivalent experience
Knowledge: Knowledge of underwriting concepts and ability to employ established underwriting procedures. . Requires a detailed understanding of Marketing and Actuarial Services. Ability to identify problems, develop solutions, articulate the reasoning, and implement a chosen course of action Experience in the use of Microsoft Word, Excel, Access, and Windows desirable. Ability to communicate effectively, both verbally and in writing, within the company, with brokers, and with groups. Requires basic math skills, including percentages, ratios, graphing and spreadsheet skills.
Building Customer Loyalty
Building Strategic Work Relationships
Contributing to Team Success
Planning and Organizing
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.