Company :

Highmark Inc.

Job Description :

GENERAL PURPOSE:

Responsible for producing group benefit Booklets/Contracts to ensure favorable group relations and to conform to the Plan’s legal requirements and state mandates. Gathers benefit information; prepares copy; customizes/writes language as required; edits, proofreads and distributes documents in a timely and accurate manner.

ESSENTIAL RESPONSIBILITIES:

1. Interact with account managers and company officials regarding benefits designs, benefit programs, interpretation of booklet and contract language, state and federal mandated benefits, underwriting rules and regulations, legal matters, and rate and rating methods as they apply to group booklets and contracts.

2. Document Production

• Gather and verify benefit information

• Customize/write language as required

• Edit and proofread documents

• Distribute documents through the proper channels

3. Internal Customer Support-Serve as consultant to account managers and company officials regarding

• Benefits

• Benefit Programs

• Product Lines

• Interpretation of booklet and contract language

• State and federal mandated benefits

• Underwriting rules and regulations

4. Benefit Review and Verification –

• Verify correctness and completeness of data

• Ensure accuracy of information to be incorporated into benefit booklets and contracts

5. Must meet production goals of the department.

6. May:

• Creates books and contracts that require edits to model language

• ASO booklets (generally not contracts or other documents)

• More complex benefit designs or provisions

• Provides guidance to lower level Document Coordinators / Analysts

7. Other duties as assigned or requested.

QUALIFICATIONS:

Education, Experience, Licenses/Certifications

Minimum

• High School diploma or GED.

• 5-10 years of relevant, progressive experience in the area of specialization

• Experience with product and benefit design

• Microsoft Office experience (i.e. Word, Excel, PowerPoint, etc.).

Preferred

• BS in Business Administration

• Experience reviewing and proofreading legal documents

Knowledge, Skills and Abilities

• Analytical Skills

• Problem Solving Skills

• Ability to coordinate and manage multiple priorities

• Ability to work independently

• Written and Oral Communication skills

• Proof-reading skills

• Interpersonal skills

SCOPE OF RESPONSIBILITY

Does this role supervise/manage other employees?

No

WORK ENVIRONMENT

Is Travel Required?

No

Work Environment

Office Setting

Physical Demands

None

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$24.53

Pay Range Maximum:

$38.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID: J254109