Pricing & Review Specialist
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About the role
This position is responsible for analyzing, reviewing, and making final decisions for benefit risk, workers' compensation risk, and pricing based on review criteria to provide competitive rating for either prospective or existing clients, as assigned. PROSPECTIVE CLIENTS - ESSENTIAL FUNCTIONS Ensures prospective client bids are renewed expeditiously and accurately. Analyzes, reviews, formulates pricing, compares relativity and makes final decisions of medical risk for prospective clients. Analyzes, reviews, formulates pricing and works with Risk Management group to make final decisions for workers' compensation risk for prospective clients. Analyzes, reviews, prices and completes final determination on prospective clients. Gathers all information for review and pricing for Employment Practice Liability Insurance (EPLI). Analyzes and reviews pricing based on review criteria to provide competitive rating. Reviews safety inspection visits by Safety Consultants to clients with workers' compensation issues and/or to assist with final review process. Gathers and prepares all information to be submitted to Risk Management group, workers' compensation carrier and EPLI carrier. Synthesizes "estimates" into "bids" when required documentation has been supplied and reviewed by the Sale Consultants. Collaborates with internal constituents including, but not limited to, Client Renewals, Health & Welfare, Sales, Legal, Workers' Compensation and New Client Sales on an ad hoc basis to confirm an accuracy of the accounts. Ensures that all approval related requirements are completed and communicated to appropriate departments. Handles complex and escalated sales questions and phone calls with strong customer service skills. Enters pricing (workers' compensation, medical coverage modifiers, SIC code and risk assessments) in Insperity Information Management System (AIMS). Validates and/or adjusts calculated modifiers to not exceed guideline for minimum modifiers. Reconciles current medical billing and census data to validate accurate medical pricing and risk assessment. Presents the Pricing & Review overview to attendees of the Initial Sales Training (IST). Interacts with and maintains a productive working relationship with internal and external customers and vendors on a frequent and continual basis. Participates in the development of policies and procedures directly affecting the Pricing & Review group. Prepares clear, concise and accurate management reports and presentations. CLIENT RENEWAL- ESSENTIAL FUNCTIONS Ensures client direct allocations and risk assessment is calculated accurately and communicated to the Client Renewal team expeditiously. Analyzes, reviews and compares clients for medical claims, allocations, participation, accuracy of coverage option pricing and vendor data to formulate renewal pricing. Analyzes, reviews and formulates client renewal workers' compensation pricing to include the overall difference in classification allocation, claims and the client overall allocation. Summarizes medical and workers' compensation claim information and enters into the client database. Summarizes, combines data and prices client name and/or FEIN changes. Summarizes, averages and prices clients that review/renew together. Conducts pricing re-evaluations. Interacts with and maintains a productive working relationship with internal and external customers and vendors
Benefits
Additional Information
Insperity provides the most comprehensive suite of scalable HR solutions available in the marketplace with an optimal blend of premium HR service and technology. With more than 90 locations throughout the U.S., Insperity is currently making a difference for thousands of businesses and communities nationwide. Behind our success is the unshakeable belief in the value of our people. We value diversity, inclusivity and a sense of belonging. We celebrate work and life events, and we partner with our clients and communities to make great things happen. We've earned recognition time and again as a top place to work-named among the best by respected organizations like Glassdoor and U.S. News & World Report. We're also proud to be recognized for one of the country's Top 50 Midsize Early Talent Programs through RippleMatch's Campus Forward Awards. There's never been a better time to be part of Insperity, and our best work is still ahead. Learn more at Insperity.com. Why Insperity? Flexibility: Over 80% of Insperity's jobs have flexibility. We want your time to have balance, whether it's spent with coworkers, clients, family or your community. Career Growth: Insperity provides many ways to grow with the company. We offer continuous learning programs, mentorship opportunities and ongoing training. Well-Being: Our total rewards package includes generous paid time off, top-tier medical, dental and vision benefits, health & wellness support, paid volunteer hours and much more. We take care of our people so that you can do your best work.
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