Remote Health Insurance Processing Specialist

206 Centerstone Ins & Fin Svc; California (MO); Hybrid; USD 65,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Life insurance

Disability insurance

401(k) with company match

Paid time off

Job summary

CRC Group, a leading benefits provider, is seeking an underwriting professional to join our remote team supporting health insurance brokers and carriers.

The role focuses on evaluating cases, enrolling groups, generating quotes, and maintaining confidentiality, with occasional long hours and the requirement to live on the West Coast. Strong Excel/Office skills and knowledge of underwriting principles are essential; prior group health underwriting is preferred.

Qualifications

• High School diploma or equivalent, with at least 1 year in underwriting or related group health insurance.
• Associate degree preferred.
• Working knowledge of medical conditions/terminology and insurance products.
• Basic understanding of underwriting principles.
• Microsoft Office proficiency (Excel, Word, Outlook).

Responsibilities

• Evaluates enrollment materials and detailed medical records to determine underwriting actions.
• Enrolling new groups and members on carrier’s online systems.
• Reviewing final rates, benefit options, and underwriting requirements.
• Contacting agents/brokers when a case has been reviewed to request additional information.
• Generating quotes, based on actual enrollment, to ensure accurate premiums are being sent to the carrier.
• Notifying agents/brokers of overdue premium payments and status of cases, whether the cases are approved, declined, or withdrawn.
• Adhering to Company confidentiality standards of information.
• Assists in the processing of broker of record change letters and licensing for agents to assure new agents are correctly paid, carrier guidelines are followed, and agents/brokers are properly appointed with each carrier.
• Answers necessary Broker questions.
• Keeps abreast of medical conditions/terminology and insurance products.
• Other projects as assigned.
• Occasional long, irregular hours.

Skills

Communication

Confidentiality

Time management

Teamwork

Problem solving

Education

High School diploma or equivalent

Associate degree preferred

Tools

Microsoft Excel

Microsoft Word

Outlook/Exchange

Internet Explorer

Job description

CRC Group, a leading benefits provider, is seeking an underwriting professional to join our remote team supporting health insurance brokers and carriers.

The role focuses on evaluating cases, enrolling groups, generating quotes, and maintaining confidentiality, with occasional long hours and the requirement to live on the West Coast. Strong Excel/Office skills and knowledge of underwriting principles are essential; prior group health underwriting is preferred.