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Policy and Compliance Analyst in Marblehead at QBE

Date Posted: 4/12/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Marblehead
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    4/12/2018

Job Description

Analyze and provide recommendations on updating policy related documents to ensure underwriting intentions are documented and accurately communicated to the policyholder. Partner with Product Management to ensure legislative requirements and corporate communications translate appropriately onto policy related documents.

Primary responsibilities

  • Review of employer plan documents and amendments for alignment with Policy language; lead collaboration efforts to determine rate or policy term impact and evaluate risk to business operations and loss ratio
  • Draft policy limitations language based on interpretation of plan documents and work directly with producers to explain revised terms; gather approval and ensure appropriate and timely delivery of final policy and underwriting requirements
  • Collaborate with Underwriters and Senior Managers to ensure the collection of required information to issue final terms and policy language; validate document terminology fits contractual needs, protects QBE against risk and requests any additional documentation
  • Develop working relationships with external production partners to ensure high level communication on policy issuance requirements
  • Formulate, affect, interpret and implement policy procedures, guidelines, strategic imperatives and product updates; draft procedural and endorsement language to be approved / signed off on by Underwriting and Product Compliance as necessary
  • Consult and advise management of trends in employer plan language and data quality of required reporting and final underwriting requirements; monitor policies and ensure changes in rates, terms, medical management and claims are handled with minimal risk to the organization
  • Compare and evaluate renewal underwriting requirements against expiring policy terms
  • Pursue and maintain qualifications and continued education in the areas of related state and federal regulations
  • Develop strong underwriting knowledge and assist with final underwriting requirements
  • Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
  • Adopt QBE values in personal work behaviors, decision-making, contributions and interpersonal interactions; manage own career development by soliciting feedback and valuing other perspectives



Required Qualifications


Education

High School Diploma/GED



Experience

4 years relevant experience


Licenses/Certifications

NA




Preferred Qualifications

Education

Bachelor’s Degree or equivalent combination of education and work experience


Experience

Experience in insurance policy and compliance



Licenses/Certifications

Health Insurance Associate (HIA), Certified Employee Benefit Specialist (CEBS), Registered Employee Benefits Consultant (REBC), or Registered Health Underwriter (RHU)

SKIP




Knowledge

  • Advanced knowledge of proposed terms and plan language to ensure compliant policy issuance, endorsements, cancellations and reinstatements
  • Advanced knowledge of the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA)
  • Develop working knowledge of department goals and business objectives and contribute to best practice development to support the objectives


Skills

  • Track and analyze up-to-date legal regulations
  • Communicate information in a clear, well-organized, and professional manner
  • Think critically to resolve problems
  • Manage assigned projects


Abilities

  • Work independently with little supervision or direction
  • Collaborate with internal and external customers
  • Build and capitalize on beneficial internal and external relationships
  • Manage and prioritize competing responsibilities concurrently and effectively

Number of Openings:

1

How to Apply:

To submit your application, click "Apply" and follow the step by step process.


Equal Employment Opportunity:

QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.

The companies of QBE North America are committed to equal employment opportunities. All qualified applicants will receive consideration for employment without regard to age, disability, marital or parental status, national origin, citizenship, race, color, religion, sex, sexual orientation, or veteran status. All personal information contained in this application will be kept confidential as required by law.