Claim/Underwriting Analyst

Job Summary

Principal Duties And Responsibilities

• Reviews and processes all stop loss claims for payment.
• Maintains aggregate claim records and reports on current and renewal block of business.
• Gathers necessary RFP (Request For Proposal) data through broker or TPA necessary to generate a proposal.
• Affords assistance in the development and preparation of proposals & renewals.
• Prepares initial stop loss quotes for prospects with assistance from the underwriting team.
• Maintains confidentiality of all PHI in compliance with state and federal laws.
• Develops and maintains written standard procedures for all processes in their area of responsibility.

Qualifications

• Bachelor’s degree in business administration or related subject is preferred or equivalent work experience.
• Working knowledge and proficiency in the use of computer and business related software, including Microsoft applications (Excel, Word and Outlook) and Adobe Acrobat.
• Working knowledge of various office equipment (computer, scanner, etc.).
• Proficiency in the use of the English language in reading, writing and speaking.
• Proficiency in the use of business math.
• Ability to successfully communicate with all organizational levels.
• Ability to communicate clearly and politely via phone and email with plants, co-workers and vendors.
• Ability to develop relationships with customers.
• Ability to prioritize and organize workload with minimum supervision.
• Ability to follow directions and instructions.
• Ability to analyze and interpret data to develop recommendations and implement changes.
• Ability to work hours mandated by management.
• Passes a drug test.

The Company is an Equal Opportunity Employer.