Job Description

This role works with group health insurance brokers and carriers to evaluate new cases while ensuring timely approval and processing of applications. This is a hybrid role so successful candidates must currently live in the greater Livingston, NJ area and have some experience with employee medical benefits .

Our employees work a hybrid schedule (in office 1 day/week). On the days we are not in the office, our teams are able to collaborate using video and screen sharing technology which means you'll feel like you’re part of the team while also enjoying the convenience of working from home.

At CRC Benefits (formerly BenefitMall), an industry leading provider of benefits services, we believe that it takes great employees to build a resilient organization. Our culture is based on corporate values that focus on inclusion, trust, collaboration, and innovation to help us build a bright future. As a result of listening to our employees, we recently earned a Top Workplaces USA award three years in a row based solely on employee feedback and insight! If you want to work for a company where employees are valued and growth is encouraged, CRC Benefits could be the place.

KEY RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

• Evaluate enrollment materials and detailed medical records to determine underwriting actions.
• Enroll new groups and members on carrier’s online systems.
• Review final rates, benefit options, and underwriting requirements.
• Contact agents/brokers when a case has been reviewed to request additional information.
• Generate quotes, based on actual enrollment, to ensure accurate premiums are being sent to the carrier.
• Notify agents/brokers of overdue premium payments and status of cases, whether the cases are approved, declined, or withdrawn.
• Assist in the processing of broker of record change letters and licensing for agents.
• Answer necessary Broker questions.
• Occasional long, irregular hours.

EDUCATION AND EXPERIENCE

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High School diploma or equivalent, Associate degree preferred.
• Underwriting or related health insurance experience ideally with a broker/agency or health insurance carrier.
• Knowledge of group health insurance products and terminology.
• Basic understanding of underwriting principles.

FUNCTIONAL SKILLS

• Strong knowledge of Microsoft Office, specifically Excel, Word, and Outlook.
• Communicate effectively with all levels of internal and external personnel, both verbally and in writing.
• Read, comprehend, and interpret underwriting procedures, requirements, regulations, and contracts.
• Negotiate with agents/brokers.
• Maintain complete confidentiality of information.
• Determine when problems should be escalated.
• Work in and contribute to a positive team environment.
• Complete tasks on time while managing multiple tasks simultaneously.

General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for CRC’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace.

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