Responsible for creation of all self-funded materials. Provide assistance with required client state filings specific to the self-funded line of business. Responsible for reviewing, compiling, coordinating, and communicating self funded plan document requirements for potential, new, and renewing large groups under the Commercial line of business. Ensure accuracy and adherence to legal deadlines and support other departments in providing customer service. Provide contribution to the layout and design of documents, particularly with reference to fees and fiduciary requirements.
Work Experience: Minimum of five years of technical background experience in the health insurance industry specific to self-funded products. Must have a thorough understanding of self-funded services and products, administrative procedures, documents requirements and compliance within the health insurance industry.
Education, Certificates, Licenses: Bachelor degree or demonstrated equivalent work experience required.
Knowledge: A thorough understanding of insurance products, contracts, administrative procedures, and the health insurance industry’s legal and mandatory guidelines preferred. Strong working knowledge of state and federal laws affecting ASO business lines. Ability to remain current on PacificSource administrative procedures and products, healthcare, and the health insurance industry.
Must possess excellent communication skills, particularly in writing and must be able to communicate and work effectively with a wide variety of internal and external customers. Ability to work under pressure and meet all deadlines. Ability to handle complex regulatory language to describe processes, functions and requirements under state, federal and PacificSource guidelines.
Must possess strong skills in Microsoft Word, Excel, and PowerPoint. Ability to consistently and effectively pay attention to detail, produce high quality work in a timely manner, and strive to increase production without sacrificing quality. Ability to handle sensitive issues with diplomacy and persuasiveness. Must possess strong analytical, planning, organizational, and time management skills.
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately less than 5% of the time.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.