Contract Administrator Senior – Specialty Products
Core
Researching, writing, filing, and implementing complex policy and certificate forms for major medical, ancillary, long-term care, and HMO products while ensuring compliance with state and federal laws.
Role type
Senior Contract Administrator (Health Insurance)
Builds
Individual/group certificates, policies, and regulatory filings for major medical and ancillary products
Domain
Health Insurance / Regulatory Compliance
Required skills
Policy and certificate form development, State/federal regulatory compliance, SERFF filing, Document management systems, Data analysis, Legal research, Project management, Database administration, Marketing material compliance review, Legislative monitoring
Preferred skills
IDPS, WDS/DDS, Microsoft Excel, AI tools (ChatGPT/Spark), Spider/Availity
Technologies
SERFF, IDPS, WDS, DDS, Access, Excel, ChatGPT, Spark, Spider, Availity
Responsibilities
Create and maintain documentation for individual/group certificates/policies; File documents with state department of insurance for approval; Monitor state and federal legislation affecting company products; Provide primary compliance review of marketing materials and product advertising; Analyze state and federal legislation to identify new regulations and regulatory issues; Convert legal information into easy-to-read narrative; Correspond with state insurance departments, internal clients, and others.
Seniority
Senior, hands-on IC
