Position: Contract Analyst
Location: Newark, NJ
Duration: 6+ Months
Responsibilities:- Develops, reviews, updates and issues contracts and booklets which legally define benefit obligations to individual subscribers, groups, other Client/Cross Plans, or subsidiaries, where applicable.
- Works with benefits repository system to load and maintain benefit features, where applicable.
- Customizes contracts and booklets with group specific benefits, possibly updating text and performing special edits to document libraries.
- Prepare for benefit changes not presently incorporated in Horizon's existing benefit outlines.
- Provides contract documentation and interpretation of contractual benefits and administrative provisions.
- Prepares riders for benefit changes not presently incorporated in Horizon's filed contracts.
- Prepares Summary Plan Descriptions for self-insured business where applicable.
- Conducts daily audits for contracts and booklets where applicable.
- Collect data from various account contracts as needed by other plan areas
- Meets with account executives to discuss account benefit needs and to ensure proper administration.
- Responds to Request for Proposal (RFP) requests where applicable.
- Participates in cross-divisional workgroups as designated.
- Completes other assigned functions as requested by Management.
Additional Job Description
Education/Experience:- High School diploma/GED required.
- Requires minimum three (3) years experience in the health insurance industry.
- Prefer health insurance contract/product experience.
- Prefer working knowledge and experience with Document Management System (DMS).
Knowledge:- Requires working knowledge of personal computers and supporting software in windows based environment including MS Office Products and email application systems.
- Prefer knowledge of health insurance products.
- Prefer knowledge of federal and state health law and underwriting regulations.
Skills and Abilities:- Requires excellent research skills.
- Attention to Detail
- Analytical & Problem Solving
- Adaptability/Flexibility
- Results-Oriented
- Planning/Priority Setting
- Information/Knowledge Sharing
- Functional/Technical Job Skills
Benefits:
We offer a competitive compensation package that includes:
· [Pay Rate]: $40-50 per hour W2
o Note: Pay rate will be commensurate with experience.
· Medical for full time employees
· Dental, and Vision Insurance
· Life Insurance, Short-Term Disability, Long-Term Disability, etc.