at WPS Health Solutions in Marion, Illinois, United States
Job Description
Description
Who We Are
WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an inclusive and empowering employee experience. We recognize the benefits of Diversity, Equity, and Inclusion as an investment in our workforce-both current and future-to effectively seek, leverage, and include diverse perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition
Role Snapshot
Provide assistance to Employer Solutions department by assisting with quotes, setting up new business, processing renewals, changes, and other duties to assist underwriters in meeting and/or exceeding established processing timeframes for department.
How do I know this opportunity is right for me? If you:
Have exceptional customer service skills.
Enjoy reviewing quoting data and group applications for completion, based on criteria provided by department.
Enjoy balancing complex duties and projects involving several related steps, processes, or services.
Can determine and request additional criteria when necessary.
Develop recommendations regarding groups or applicant's acceptability.
Can aid department regarding questions of existing policies and guidelines.
Can assist Underwriters and ASO staff as needed in various underwriting processes.
Can maintain tracking systems for renewal groups and groups requesting a quote.
Are proficient in Word and experience with OnBase or have the ability to learn.
Can utilize word processing, spreadsheet, and database software to produce reports, documents, etc.
Can assist with copying and mailing of correspondence generated by staff.
What will I gain from this role? The ability to:
Comply with system security requirements in WPS Information Systems Policies, which include appropriate use of hardware and software and ensuring confidentiality of assigned password(s).
Analyze and prepare weekly 50% and 100% Stop Loss reports.
Utilize FACETS system to research information on a group or individuals within a group.
Prepare and index all documents into OnBase.
Prepare renewal packets including the correct addendums and SBC for mailing.
Complete group set-up sheets and configuration sheets for new groups, renewal groups and changes.
Interface with sales staff and other department to resolve rate and benefit issues.
Complete request for changes to group policies through utilizing appropriate underwriting guidelines.
Assign Facets group number using FAST table.
Use website to check all new groups to make sure they are not on Specially Designated National List (SDN) [Watch Dog].
Create rate calculators for renewals and quotes.
Run renewal reports and distribute to assigned underwriter.
Minimum Qualifications
High school diploma or equivalent
Preferred Qualifications
2 or more years of experience within the health insurance field.
Experience with MS Office products, OnBase, FACETS.
Teamwork, multi-tasking, communication, organization, learning, high attention to detail.
Hourly Rate of Pay
$ 19.70/hour
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, experience, and may fall outside of this range.
Remote Work Requirements
Wired (ethernet cable) internet connection from your router to your computer (add this bullet point only IF your role requires a wired connection)
High speed cable or fiber internet
Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
Please review Remote Worker FAQs for additional information
Work Location
We are a remote-first organization and offer remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North... For full info follow application link.
Wisconsin Physicians Service Insurance Corporation is an Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities employer.
