Policy and Contracts Administration Executive - Health Insurance
Insurance
Job Description
Provide end-to-end administrative support to clients and intermediaries, including but not limited to census reconciliation, policy setup, endorsements, invoicing analysis, reporting, and Pre-Inception activities.
Review all received documents thoroughly and accurately, ensuring timely data entry into healthcare systems in line with agreed SLAs and with minimal errors.
Maintain accurate physical and electronic records related to medical insurance policies, endorsements, and maintenance requests.
Upload member data files to regulatory platforms in compliance with applicable regulatory directives.
Upload and maintain PBM membership data on partner systems.
Ensure full regulatory compliance through continuous monitoring, identification, and reporting of process, procedure, and system gaps.
Ensure full adherence to regulatory requirements and internal company standards relating to operational risk.
Liaise closely with cross-functional teams, including Customer Service, Medical, and Health On Track, to support policy- and member-related queries.
Maintain a strong client and broker-centric approach, ensuring customers, clients, and brokers remain at the core of day-to-day activities and service delivery.
Support translation activities related to policy contracts, onboarding documents, and marketing collaterals, as required.
Prepare, classify, index, and document translated materials and topics to enable effective reference and retrieval.
Determine translation requirements and oversee the organization and documentation of all related records and materials.
Perform quality validation of data and documents related to EB policy onboarding and Pre-Inception processes.
Demonstrate a continuous process improvement mindset by proactively identifying opportunities to enhance policy administration workflows, systems, and operational efficiency.
Carry out any other duties related to the nature of the role, as assigned.
Position Details
Position Title: Policy and Contracts Administration Executive - Health Insurance
Location: CA
Industry: Insurance
Experience Required: "4.0"
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Policy and Contracts Administration Executive - Health Insurance | Career Opportunity
