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Location: Hybrid
Compensation: $24.00 - $31.58
Jump into the new world of health insurance:
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), our business is healthcare. But our focus is on improving lives. Be part of a team that is large enough to make a difference but small enough to be innovative. Work in a rapidly changing field. Take a chance to be creative. Move outside the status quo. Shape new ideas with the power of a national brand behind you.
Join others who know diversity is strength:
We appreciate and celebrate everything that makes us unique: age, national origin, citizenship status, perspectives, experiences, physical or mental disability, military status, race, ethnicity, religion, gender, sexual orientation, gender identity and/or expression. Our diversity strengthens us as an organization and helps us better serve an increasingly diverse Rhode Island population.
Why this job matters:
Perform rate validation for account renewals and new business. Perform associated monthly reporting on recertification and renewals. Prepare reports to support rating activities and ad hoc requests. Ensure the accurate and timely delivery of the Health Insurance Renewal explanation form in compliance with OHIC regulatory requirements.
What you will do:
- Perform renewal and new business rate quality review in compliance with approved OHIC rate and formula filings.
- Perform end-to-end data transfer validation of renewal and new business rates
- Validate onboarding documentation for all new business groups in accordance with corporate enrollment and participation requirements.
- Monitor and perform manual adjustments for small group rate cap and bundle discount agreements.
- Perform manual rating and distribution of ancillary plan product information.
- Provide rating and quoting support to internal and external business partners.
- Follow company guidelines to recertify small groups; reinstate cancelled groups that have satisfied the recertification requirements.
- Provide monthly audit support.
- Assist team with department initiatives and projects.
- Maintain assigned department policies and procedures.
- Perform other duties as assigned.
What you need to succeed:
- Associate's degree in Mathematics, Statistics, or related field; or an equivalent combination of education and experience
- One to three years of experience in rating or statistical activities
- Working knowledge of Rhode Island Small Employer Health Insurance Availability Act and related Regulations
- General computer proficiency
- Good organization skills
- Detail oriented
- Ability to research and organize data
- Ability to organize work efficiently to meet established time and quality standards
- Ability to work successfully in a matrix environment
- Demonstrated written and verbal communications skills
- Ability to exercise sound judgment
- Ability to take initiative in finding solutions to difficult and/or sensitive problems
- Ability to establish and maintain strong working relationships with various stakeholders
- Ability to organize work efficiently to meet established time and quality standards
- Good time management skills
- Proficiency with Microsoft Suite of products, i.e., Word, Excel, PPT, etc.
Extras
- Prior experience in small group insurance or marketing field
- Proficiency with Microsoft Suite of products; i.e., Word, Excel, PPT, etc
- Working knowledge of SalesForce
Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:
- In-office: onsite 5 days per week
- Hybrid: onsite 2-4 days per week
- Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit https://www.eeoc.gov/employers/eeo-law-poster to view the "EEO is the Law" poster.
- Pay Type Hourly
- Blue Cross & Blue Shield of Rhode Island, 500 Exchange Street, Providence, Rhode Island, United States of America
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, age, national origin or ancestry, disability, veteran status, sexual orientation, genetic information, sex, gender identity or expression, and any other personal attributes protected by federal, state, or local law. For more information about our commitment to diversity and inclusion, please see our Diversity Report at bcbsri.com/diversity report.
The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf to view the "EEO is the Law" poster.
BCBSRI is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a disability, you need a reasonable accommodation for any part of our application process, please contact us at (401) 459-1050 for assistance.