Case Specialist Underwriting Teleservices

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

Work Setting / Position Demands :

Travel Requirements :