Job Description

Job Description

Pay Rate: 22.00 per hour

Columbus, OH - Hybrid remote after training

Contract to possible perm

Primary Purpose:

This position is responsible for overseeing the Accident & Health portfolio of products from the perspective of risk and profitability, recommending appropriate action as needed, and offering up solutions through a combination of rate adjustments, plan amendments, and distribution modifications. Functions to ensure that A&H underwriting guidelines are adhered to while working in concert with its reinsurers and Actuaries to make risk decisions requiring facultative approval.

Required Skills and Competencies:

• strong medical terminology and/or understanding of anatomy
• Bachelor’s Degree or Insurance-related work experience
• Business, finance, economics, and mathematics are particularly helpful.
• Knowledge of the health insurance market
• Demonstrates strong ability to work independently and to adjust schedule to meet service standards
• Proven ability to remain focused in fast paced environment
• Ability to work collaboratively with sales staff and department staff
• Proficient use of Microsoft Office applications, strong computer skills
• Proficient use of computer systems
• Demonstrates professional phone etiquette and interpersonal skills
• strong written and verbal communication skills
• Ability to analyze and evaluate information from a variety of sources and solve complex problems.
• Demonstrated decision making skills
• Attention to detail

salary: $21 - $21.01 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

Essential Duties and Responsibilities:

• Order necessary requirements based on group material submitted for completeness
• Analyze the risk factors on an enrollment form; apply appropriate medical risk for sound risk decisions utilizing approved medical guidelines provided
• Evaluate eligibility of the business (this includes participation, legitimacy of the business)
• Process data on web based underwriting applications, and appropriate worksheets
• Serves as subject matter expert and contact for North Star Marketing and TPA, works collaboratively with sales offices to meet company objectives while balancing risk
• Conducts user acceptance testing, adhering to test plans, and meeting all delivery dates
• Establish and maintain strong working relationships with outside vendors and acts as liaison between staff and vendor
• Analyzes new business quote/proposal for accuracy
• Analyzes broker appointments
• Evaluate eligibility and enrollment requirements of new enrollees to employer group plan
• Evaluate employer changes, such as waiting period change requests, appeals from businesses and TPA
• Build and maintain relationships with internal partners to improve agent satisfaction
• Assists with special projects or requests

Skills

• Insurance
• Desktop Underwriter
• ICD-10
• CPT Codes
• Data Collection
• Health Insurance Policies
• Claims Processing
• Insurance Claim Processing
• MEDICAL MALPRACTICE
• Medical Billing

Qualifications

• Years of experience: 1 year
• Experience level: Entry Level

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.