Company :
Highmark Inc.
:
JOB SUMMARY
Analyzes risk factors for new enrollment, annual renewals, and amendments of group/individual insurance contracts or self funded plans in conformance with established underwriting policies, practices and standards.
ESSENTIAL RESPONSIBILITIES
Responsible for a block of business (new or renewal) or for those new/renewing accounts assigned.
Interpret risk and applies pricing policies to account for unusual situations.Identify questionable claim patterns whether occurring on an inforce account or a prospect.
Identifyunusual situations not anticipated by standard pricing formulae and seek assistance in applying Corporate Risk Management policies .
Monitor compliance with Corporate Underwriting policies.
Complete workload within established Production and Timeliness standards.
Other duties as assigned.
EDUCATION
Required
Substitutions
Preferred
EXPERIENCE
Required
Preferred
LICENSES OR CERTIFICATIONS
Required
Preferred
SKILLS
Ability to use computer systems, electronic tools, and applications
Ability to manage several simultaneous priorities
Demonstration of ethical business practices with adherence to guidelines
Strong attention to detail
Basic analytical skills
Language Requirement (other than English)
None
Travel Required
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Rarely
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Does Not Apply
Physical work site required
No
Lifting: up to 10 pounds
Occasionally
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Never
Disclaimer:The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$22.71
Pay Range Maximum:
$35.18
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( /eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at ***
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J251028
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