Insurance Job Description
Insurance Duties & Responsibilities
To write an effective insurance job description, begin by listing detailed duties, responsibilities and expectations. We have included insurance job description templates that you can modify and use.
Sample responsibilities for this position include:
Insurance Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Insurance
List any licenses or certifications required by the position: RM, CCIP, OCIP, RBC, AMF, IRDA, B.S, B.A, ARM
Education for Insurance
Typically a job would require a certain level of education.
Employers hiring for the insurance job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Collage Degree in Education, Business, General Business, Finance, Accounting, Management, Associates, Business/Administration, General Education, Economics
Skills for Insurance
Desired skills for insurance include:
Desired experience for insurance includes:
Insurance Examples
Insurance Job Description
- Work in conjunction with GCO, GC&E, and Consumer Products & Services (CPS) when reviewing and answering questions regarding all marketing, training, policies and procedures job aides, phone scripts
- Adjust patients' accounts to reflect the carrier decisions on the patient's statement
- Maintain minimum requirement of 60 - 80 claims in an 8hr work shift
- Review coding information about procedures, diagnosis, and authorization on charge to determine split billing
- Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information
- Prepares and submits clean claims to various insurance companies either electronically or by paper on CMS form
- Full understanding of BCBS and other insurance carriers claim submission guidelines
- Full knowledge of Insurance prefix
- Understand the medical criteria for BRCA & HNPCC testing
- Understand our internal LIS systems (AP2, Telcor, Evo, & LD)
- Conduct root cause analysis and identify solutions
- Ensure all account balances are substantiated as per guidelines
- Thorough knowledge of the life and health insurance and/or property & casualty markets
- Ensure Inbound Sales staff are fully briefed on all relevant information on a timely basis
- APA Qualified
- Role requires has regular interaction with the Management Team, Insurance and Brokerage Compliance Teams
Insurance Job Description
- Facilitate customer segmentation for insurance products and help in specific sales pitches to respective segments through the Tablet application developed by the insurer
- Follow up on outstanding and denied claims by working assigned queue
- Obtain claim status through payer websites and phone calls to insurance payers
- Research and analyze accounts in order to determine the next course of action
- Appeal denied claims
- Communicate with insurance payers and patients
- Record clear and accurate collection activity notes on each account and maintain appropriate documentation
- Work correspondence in a timely manner
- Expected to work a minimum of 35-45 claims daily
- Analyzes and documents business requirements utilizing process models, use cases, to translate business requirements into system requirements
- 3-5 years of proven and progressive brokerage operations experience or equivalent
- Series 6, 26 and 63 licenses and appropriate state licenses (life and health insurance) required due to client contact requiring securities/ insurance & investment knowledge
- Proven knowledge and experience in processing insurance and annuity applications
- Excellent oral and written communication skills, problem solving abilities, presentation skills, organization skills and ability to set priorities to achieve optimum levels of productivity
- Working knowledge of banking and brokerage operations, external regulations impacting activities
- Prepare Annual and Quarterly Financial Statements and related exhibits, analyses and reports for various State regulatory authorities
Insurance Job Description
- Work directly with customers either via telephone, electronically or face to face
- Handle and resolve customer complaints, questions, or concerns
- Continuously monitors and assesses operational processes to assure quality and effective delivery of benefits
- Assist department manager with programs and special projects as assigned by department manager
- Demonstrate the inputs at the Branch with an average of minimum of 3 insurance calls per day for the month
- Initiates identification and development of new business segments and geographical areas to generate business opportunities
- Manage customer’s issues on service or insurance needs
- Ensure training & briefing on all product launches & upgrades at the Branch
- Keep attuned to the current economic and financial markets so as to be current and proficient in attending to customers’ queries and update Front line sales on the same
- Ensure follow up for renewal premiums to increase persistency and subsequent renewal revenues
- Company should double in size in the next 2 years
- Prepare Audited Statutory and Consolidated GAAP reports
- Supervise the preparation of Federal and State income tax returns
- Supervise the preparation of Premium tax returns
- Lead relationship with the external auditors and provide support during periodic state regulatory examinations
- Review monthly cash books produced by Assistant Controller for the general ledger
Insurance Job Description
- Provide direction on how to obtain and maintain all types of license to the licensing coordinators in each office
- Technical Underwriting
- Working with a collections department and agency on invoices that were improperly billed
- Maintaining and fostering relationships with all third-party providers
- Standards to maintain quality and avoid potential E&O situations
- Billing and collections of accounts
- Analyze cash and ensure timely deposit, and cash application to the reinsurance system
- Monitor premium schedules and remit payment request accordingly to Finance Center and ensure payments processed within deadlines
- Advise settlements
- Produce premium reports
- Review monthly accrual entries to produce Accrual Trial Balance
- Prepare/review monthly financial statement
- Review the Assistant Controller’s monthly reconciliations all investment transactions
- Handle any special requests assigned by senior management
- Supervise a Staff of 4 accounting professionals
- Prepare annual budget on what funds will be necessary for the accounting department
Insurance Job Description
- Pursue receipt of reinsurance documents and verify for accuracy
- Perform additional tasks required by the Insurance Officer to whom he/she reports
- Manage and prioritize your own workload in order to meet deadlines
- Build and maintain strong working relationships with colleagues, clients, insurers, reinsurers and third parties
- Prepare and present materials during meetings, ensuring quality and inclusion of value added information
- Cross-train in other department functions, as trainer and trainee as applicable
- In conjunction with the Medical Records Specialist is responsible for obtaining missing signatures or documents in a timely manner
- Obtains surgeon signatures on Operative Reports
- Assist the team in preparing of underwriting submissions on both new and renewal accounts
- Works closely with account coordinator(s) in the setup, booking, and maintenance of business
- Hire and interview qualified accountants and other staff and recommend salary increases and promotions
- Responsible for all financial reporting to the Board of Directors, Senior Management, Insurance Regulators and Tax Authorities
- Work very closely with CFO, President and VP of Finance
- Provide guidance and training to staff members as needed
- Conduct and deliver staff performance feedback and implement corrective action as necessary
- Keep current with developments in accounting, tax and insurance