SUMMARY:
Primarily responsible for assisting Business Development Consultants (BDCs) in growing and maintaining a profitable book of business and assists agents with inquiries related to underwriting rules, procedures and regulations. Manages renewal book in accordance with the needs of the region they are aligned with. Mentors CSRs with complex agency/insured questions and policy information. Reviews policy structures to determine if changes need to be made to stay in compliance with bureau rules and regulations. Provides customer service to agencies and policyholders related to complex underwriting inquiries, policy, and audit information. Contacts include state rating bureaus, Business Development Consultants, Business Development Directors, Service Center Managers, Underwriting Technical Advisor, Service Center staff, Finance Department, Claims Department, agents and policyholders.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Calculates and determines renewal eligibility and insurability for policyholders. Develops appropriate pricing based on loss history, audit results, STI, PM scores, and hazard exposures. Approves or declines renewals for profitability and or/continuation of coverage using corporate underwriting guidelines within their Letter of Authority. Recommends declinations to the BDC.
Evaluates group program renewals to incorporate proper placement of renewal accounts in or out of the program based on pricing needs, eligibility of the program, and loss history.
Reprice renewals due to competition, market fluctuations, multi-state repricing, or to retain profitability using in depth knowledge of each BDC’s repricing needs. Evaluate by analyzing state rate reductions/increases to maintain profitability, add/remove schedule credit/debit, or move from one company tier to another.
Approves endorsement requests received from the service center and agents. Reviews and evaluates inspection reports for policy changes requested from rating bureaus and/or state agencies. Provides endorsement quotes to agents when requested.
Communicates with agency personnel on policy issues regarding reasons for non-renewals and cancellations.
Provides ad hoc mod promulgations for BDCs and agents.
Review AFXpress submissions for errors and to ensure they meet corporate underwriting guidelines.
Assist BDC’s in preparation for agency audits.
Serves as back-up to BDC’s for phone and e-mail inquiries regarding new and renewal business while BDC is out of office, including documentation of records and briefing BDC on any pertinent issues when they return.
Thoroughly assesses claim history of indemnity and medical claims. Composes a summary of details relating to complex claims to add to the underwriting file.
Mentors Service Center employees.
Trains and mentors working out of class staff as well as new employees on the duties of the job.
Responds to basic and complex policy inquiries and provides customer service to agency staff.
Evaluates and determines governing class code changes due to audit findings or bureau inspection reports to properly class the policy holder based off their business operations. Contact agency to notify of the changes in pricing or add credit to help offset any increased price as appropriate. Work with agents to reallocate the payrolls if additional class codes are added to the policy.
Investigates and determines appropriate response to Independent Bureaus, NCCI, internal and external audit inquiries.
Provides technical support to agents with their online tools.
Thorough knowledge of multistate and regional needs, including appetite and complexities of the market. Act as a subject matter expert for their assigned book of business.
Compose written correspondence to internal staff, agents and policy holders.
Coordinates problem resolution and responds to customer complaints, errors, and service issues.
Makes appropriate decisions based on interpretation of policies and procedures.
Corrects policy structures based on audit findings to stay in compliance with Accident Fund’s and/or bureau rules and regulations.
Foster agency relationships by timely responses to renewal pricing and policy inquires.
Act as a back-up for the Large Account Coordinator as needed.
Works with minimum supervision
EMPLOYMENT QUALIFICATIONS:
EDUCATION REQUIRED:
Bachelor’s degree in insurance and/or a related field with progress towards or completion of Insurance Institute of America (IIA) or other insurance-related designation(s). Successful completion of business writing course required. Combinations of education and experience may be considered in lieu of formal education.
EXPERIENCE REQUIRED:
Two (2) years experience with Accident Fund Insurance Company of America as a Customer Service Representative, Billing Service Representative or equivalent Accident Fund experience that provides the necessary skills.
OR
Four years relevant experience servicing agencies and policy holders as it relates to rules, procedures and regulations, policy and audit information; reviewing, approving, and declining endorsement requests; maintaining compliance with bureau rules and regulations.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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.
OTHER SKILLS AND ABILITIES
Ability to work effectively in a multi functional multi-state business unit.
Knowledge of state specific underwriting and audit rules, procedures and Workers’ Compensation classifications in multiple states.
Basic understanding of the worker’s compensation claims process as it relates to the underwriting process.
Excellent verbal and written communication skills.
Strong interpersonal skills and the ability to create and maintain mutually beneficial relationships with working partners.
Excellent organizational skills, including ability to perform multiple tasks, and prioritize.
Ability to manage multiple priorities and meet established deadlines.
Knowledge of word processing with accurate input ability of 40 wpm.
Advanced knowledge of spreadsheet software with the ability to use ten-key.
Knowledge of computers.
Basic knowledge of database software.
Strong analytical and problem-solving skills.
Knowledge of multi-line telephone system
Ability to process transactions on core processing systems
Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.
Math skills with the ability to use a ten-key adding machine.
ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED:
Thorough knowledge of state specific underwriting and audit rules, procedures and Workers’ Compensation classifications in multiple states.
Prefer completion of Certified Authority on Workers Compensation (CAWC)
Note: Renewal Specialist – Small Accounts Written test to be taken post application
#BU
Skills Required
- Bachelor's degree in insurance or a related field, with progress toward or completion of an insurance-related designation; equivalent education and experience may be considered.
- Successful completion of a business writing course.
- Two years of Accident Fund Insurance Company experience in customer service, billing service, or equivalent experience; alternatively, four years of relevant experience servicing agencies and policyholders.
- Knowledge of state-specific underwriting and audit rules, procedures, and workers’ compensation classifications across multiple states.
- Basic understanding of the workers’ compensation claims process as it relates to underwriting.
- Excellent verbal and written communication skills.
- Strong interpersonal, organizational, analytical, and problem-solving skills.
- Ability to manage multiple priorities, meet deadlines, and work effectively in a multifunctional, multistate business unit.
- Accurate word-processing and data-entry skills, including 40 words per minute and ten-key proficiency.
- Knowledge of word-processing, spreadsheet, database, computer, telephone, and core processing systems.
- Completion of Certified Authority on Workers Compensation designation.
What We Do
Emergent Holdings’ elite team makes lives, companies and communities better! Emergent Holdings is driven by a singular goal — improving the health and safety of our customers and our communities. How do we do that? We create innovative insurance products, technology solutions and services to support our key stakeholders — individuals, employers, providers and strategic partners — improving the health and safety of the people and places we serve. At Emergent Holdings, we’re inspired to create, to challenge the status quo, to think not just about what our customers need now, but what they will need in the future. We are strategic thinkers. We are industry innovators. We are market trendsetters. Together, we are Emergent Holdings. Our diverse team of established industry experts embraces a culture of innovation and entrepreneurial spirit. That means we’re focused on innovation, on leading and shaping our markets and improving health and safety for our customers and communities. For our customers, the result is a suite of solutions, services and products delivered ahead of market needs — and in anticipation of member demands. We are tireless in our pursuit of the exceptional, and our companies deliver optimal customer experiences and improve people’s lives every day, by making workplaces safer and delivering affordable, solutions-focused healthcare services.
