Pricing & Review Specialist

About the role

This position is responsible for analyzing, reviewing, and making final decisions for benefit risk, workers’ compensation risk, and pricing based on review criteria to provide competitive rating for either prospective or existing clients, as assigned.

Responsibilities

• Ensures prospective client bids are renewed expeditiously and accurately.
• Analyzes, reviews, formulates pricing, compares relativity and makes final decisions of medical risk for prospective clients.
• Analyzes, reviews, formulates pricing and works with Risk Management group to make final decisions for workers’ compensation risk for prospective clients.
• Analyzes, reviews, prices and completes final determination on prospective clients.
• Gathers all information for review and pricing for Employment Practice Liability Insurance (EPLI).
• Analyzes and reviews pricing based on review criteria to provide competitive rating.
• Reviews safety inspection visits by Safety Consultants to clients with workers’ compensation issues and/or to assist with final review process.
• Gathers and prepares all information to be submitted to Risk Management group, workers’ compensation carrier and EPLI carrier.
• Synthesizes “estimates” into “bids” when required documentation has been supplied and reviewed by the Sale Consultants.
• Collaborates with internal constituents including, but not limited to, Client Renewals, Health & Welfare, Sales, Legal, Workers’ Compensation and New Client Sales on an ad hoc basis to confirm accuracy of the accounts.
• Ensures that all approval related requirements are completed and communicated to appropriate departments.
• Handles complex and escalated sales questions and phone calls with strong customer service skills.
• Enters pricing (workers’ compensation, medical coverage modifiers, SIC code and risk assessments) in Insperity Information Management System (AIMS).
• Validates and/or adjusts calculated modifiers to not exceed guideline for minimum modifiers.
• Reconciles current medical billing and census data to validate accurate medical pricing and risk assessment.
• Presents the Pricing & Review overview to attendees of the Initial Sales Training (IST).
• Interacts with and maintains a productive working relationship with internal and