Support PDF,DOC,DOCX,TXT,XLS,WPD,HTM,HTML fils up to 5MB
Date Last Verified
Years of Experience
ProfileTemporary Document Specialist The candidate reporting to: Compliance Liaison Manager. Will be an active participating member of the team, and as needed, assist Underwriting in preparation of Letter of Agreements (LOA) leading up to brochure process: Prepare LOAs by comparing filings of new carrier to brochures of previous carrier; Prepare brochures by comparing LOAs to filings, new and renewal brochures, policies, and Spartacus database; Compare new client’s plans to the existing filing in that state while in the brochure process; Compare brochure and policy language to state/federal requirements; Create templates for various states/products; Review and prepare draft and final brochures, Summary of Benefits and Coverage (SBC), and policies. Coordinate with Sales, Account Management, Underwriting, agents and carriers where applicable. Strive for Continuous Process Improvement with efficiency and accuracy as goal. Answer questions from Account Managers regarding benefits language with input from Compliance team when appropriate; Develop spreadsheet of all groups (student and employer groups) with benefit structures. Understand benefit structures of plans. Update status spreadsheets and calendar logs; Research laws/regulations/filings when requested; Work on projects within CHP such as: New products; Performance metrics - responsible for keeping track of standards in comparison to actual; Compliance Program activities. Other projects and duties as directed.
Qualification and Experience
The candidate must have Associate/Bachelor’s degree in paralegal studies, communications, or similar field of study along with 2 years of experience in a professional setting. Should have experience working in the health insurance industry especially with compliance responsibilities. Experience in the insurance or financial industries, especially with compliance responsibilities, is preferred. Should have very strong written and verbal communication skills. Must have highly developed organizational and analytical skills, especially thorough proof-reading. Should have ability to synthesize large amounts of complex material into a concise written format. Must be very skilled with Microsoft Suite Office products, especially Word and Excel, and with PDF documents. Should have demonstrated listening and problem resolution skills with ability to follow written procedures.
Consolidated Health Plans, Inc.
2077 Roosevelt Avenue
Springfield, MA 01104