Customer Care Professional

Randstad is actively assisting a long time health and benefits industry client with its search for multiple Customer Service and Underwriter roles. These positions are with a large health benefits provider , so experience with a large life and health insurance services company is strongly preferred. Knowledge of Medical Terminology and Pharmaceuticals is highly desired.

This role is 100% REMOTE

Pay Rate - $20 to $22 per hour ($41,600 to $45,760)

Description:

As an Underwriter for Supplemental Benefits, you are part of a team assessing risk for Medicare Supplement and a portfolio of supplemental products including Whole Life and Cancer and Heart plans. This team interacts with agents and applicants regarding underwriting requirements and underwriting decisions. Bring your problem-solving and analytical skills and computer knowledge as we change people’s lives for the better.

PRIMARY DUTIES/RESPONSIBILITIES:

• Accurately assess medical history according to established underwriting criteria.
• This will include review of the enrollment application and available third-party data to assist with risk evaluation.
• Understanding of the portfolio of product offerings and the different underwriting criteria used to accurately evaluate an enrollment application.
• Reach out to applicants for clarity regarding medical history.
• This will include asking additional probing questions related to medical history or prescription usage.
• Complete application reviews timely. This will include reviewing applications within established turnaround times to meet service level targets.
• Clearly communicate underwriting decision details for denied coverage.
• This will include creating accurate and complete written correspondence.
• Build and maintain relationships with other members of the new business team to include the UW Support Team.

Qualifications:

• Minimum of a High School diploma is required.
• Insurance-related work experience preferred. Prior underwriting experience a plus
• Above average knowledge of medical conditions/prescriptions
• Ability to work independently and as part of a team is essential.
• Excellent verbal and written communication skills
• Proficiency using Microsoft Office, specifically Word and Excel
• Ability to meet production and quality standards.