Company :Highmark Inc.Job Description :JOB SUMMARYAnalyzes 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.
EDUCATIONRequired
Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline
Substitutions
6 years of related experience in lieu of a Bachelor's Degree
Preferred
None
EXPERIENCERequired
None
Preferred
1 year of relevant insurance industry experience
LICENSES OR CERTIFICATIONSRequired
None
Preferred
None
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)NoneTravel Required0% - 25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition TypeOffice-BasedTeaches / trains others regularlyRarelyTravel regularly from the office to various work sites or from site-to-siteRarelyWorks primarily out-of-the office selling products/services (sales employees)Does Not ApplyPhysical work site requiredNoLifting: up to 10 poundsOccasionallyLifting: 10 to 25 poundsRarelyLifting: 25 to 50 poundsNeverDisclaimer: 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:$22.71Pay Range Maximum:$35.18Base 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 LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migratedfiles/employers/posterscreenreaderoptimized.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 HRServices@highmarkhealth.orgCalifornia Consumer Privacy Act Employees, Contractors, and Applicants NoticeReq ID: J252316
