Job Description

This role works with group health insurance brokers and carriers to evaluate new cases/add-on risks ensuring quality underwriting and timely processing of applications. Successful candidates will have group employee health insurance experience and will ideally live in the Woodland Hills, CA area.

Our employees work a hybrid schedule. On the days we are not in the office, our teams are able to collaborate using video and screen sharing technology which means you'll feel like you’re part of the team while also enjoying the convenience of working from home.

At BenefitMall, an industry leading provider of benefits services, we believe that it takes great employees to build a resilient organization. Our culture is based on corporate values that focus on inclusion, trust, collaboration, and innovation to help us build a bright future. As a result of listening to our employees, BenefitMall recently earned a Top Workplaces USA award three years in a row based solely on employee feedback and insight! If you want to work for a company where employees are valued and growth is encouraged, BenefitMall could be the place.

KEY RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Evaluating enrollment materials and detailed medical records to determine underwriting actions.
• Enrolling new groups and members on carrier’s online systems.
• Reviewing final rates, benefit options, and underwriting requirements.
• Contacting agents/brokers when a case has been reviewed to request additional information.
• Generating quotes, based on actual enrollment, to ensure accurate premiums are being sent to the carrier.
• Notifying agents/brokers of overdue premium payments and status of cases, whether the cases are approved, declined, or withdrawn.
• Adhering to Company confidentiality standards of information.
• Assists in the processing of broker of record change letters and licensing for agents to assure new agents are correctly paid, carrier guidelines are followed, and agents/brokers are properly appointed with each carrier.
• Answers necessary Broker questions.
• Occasional long, irregular hours.

EDUCATION AND EXPERIENCE

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High School diploma or equivalent required. Associate degree preferred.
• Minimum of one (1) year of underwriting or related group health insurance experience ideally from a broker office or health insurance carrier.
• Solid knowledge of group health insurance products and terminology.
• Basic understanding of underwriting principles.

FUNCTIONAL SKILLS

• Strong knowledge of Microsoft Office, specifically Excel, Word, and Outlook.
• Communicate effectively with all levels of internal and external personnel, both verbally and in writing.
• Read, comprehend, and interpret underwriting procedures, requirements, regulations, and contracts.
• Negotiate with agents and brokers.
• Maintain complete confidentiality of information.
• Determine when problems should be escalated.
• Work in and contribute to a positive team environment.
• Complete tasks on time while managing multiple tasks simultaneously.

Additional Information

BenefitMall is the health insurance division of CRC Group, a TIH Company

General Description of Available Benefits for Eligible Employees of TIH Insurance: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH's generous benefit plans, please visit our site . Depending on the position and division, this job may also be eligible for TIH’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace.

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