Case Specialist- Underwriting Teleservices (On-Site)

Overview

Processes and reviews underwriting requirements by conducting customer interviews to gather non-medical and medical information. Works with some supervision but is empowered to approve applications and other decisions within the limits of authority level, and coordinates workflow of cases outside authority limits with Senior Case Specialist. Completes appropriate amendments, and thoroughly reviews and validates output to ensure accuracy. Ensures compliance rules regarding all requirements and procedures are completed. Research inquiries and provide prompt and accurate service to internal and external customers. Supports the overall goals of the department by meeting or exceeding department time service, production goals, quality standards and underwriting requirements.

Responsibilities

What you will do:

• Process contract and application changes and requests and approves and issues life and health insurance policies in a timely manner compliant with state and federal guidelines.
• Provide direction to internal and external customers on what and forms that are needed to complete the application process through accurate and professional verbal communication.
• Conduct client interviews to obtain the most accurate answers to medical, social, avocation and other required information to aide in the completion of the underwriting process.
• Analyze and prepare cases for the New Business Specialists, Underwriting Assistants, Underwriters or Senior Underwriters to review.
• Develop and maintain confidentiality of information, including sensitive medical information and complies with federal and state rules and regulations (i.e., MIB, Fair Credit Reporting Act, Replacements, etc.).
• Utilize document management systems to organize, manage and transmit documents.
• Verify and process outstanding case requirements and process requests for additional information.
• Analyze and review for completeness and accuracy, codes the appropriate system to issue and approve the case within an established time service and quality guidelines.
• Investigate and gather information as needed for additional medical conditions based on clients' responses.
• Back-up for Senior Case Specialist to oversee day to day case management and reporting or perform other duties as assigned by management.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• High School Diploma - Required
• Associate's Degree Medical field - Preferred
• Demonstrated proficient attention to detail with excellent organizational skills. Cite examples of organization and time management methods used to manage or prioritize workload demands. - Preferred
• Demonstrated ability to make sound decisions during client interviews on which medical conditions or medications need further details, additional amendments or documentation that may not have been originally disclosed. - Preferred
• Demonstrated experience working independently under little direction from management. Experience must include the ability to apply knowledge to future decisions (progressive decision making). - Preferred
• Demonstrated excellent verbal and written communication skills with the ability to successfully interpret and communicate business needs to internal and external customers in a clear, focused, and concise manner. - Preferred
• Must provide examples of maintaining a high degree of accuracy associated with high volumes of work and or multiple duties. - Preferred
• Demonstrated experience effectively collaborating with customers. - Preferred
• Must provide examples from work experience demonstrating flexibility to meet department and customer needs. - Preferred
• Demonstrated experience working independently under little direction from management. Experience must include identifying and resolving problems where independent decision making, and self-initiative were demonstrated. - Preferred
• 2 plus years relevant work experience in a life insurance or medical setting. - Preferred
• Proven PC Skills and the ability to make repetitive motions of the wrists, hands and/or fingers. - Preferred
• Working knowledge of word processing and spreadsheet applications. - Preferred
• Working knowledge of email system. - Preferred
• Life and Health Insurance License in home state Obtain and maintain within 90 Days - Required

Work Setting/Position Demands:

• Works in an office setting and remains in a stationary position for long periods of time while working at a desk, on a computer or with other standard office equipment, or while in meetings.
• Requires the ability to verbally communicate and exchange accurate information to customers and associates on a regular basis.
• Requires visual acuity to read and interpret a variety of correspondence, procedures, reports and forms via paper and electronic documents, visual inspection involving small defects; small parts, and/or operation of machinery (including inspection); using measurement devices continuously. Visual acuity is required to determine accuracy, neatness, and thoroughness of work assigned.
• Requires the ability to prepare written correspondence, reports and forms using prescribed formats and conforming to rules of punctuation, grammar, diction, and style on a regular basis.
• Requires the ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions
• Performs substantial movement of wrists, hands, and fingers for continuous computer work.
• Extended hours required during peak workloads or special projects/events.
• Occasional after-hours work needed
• Routine and/or extended after hours work needed
• Valid Driver's License with a safe driving record
• Valid Driver's License with a safe driving record

Travel Requirements:

• None