Medical Insurance Representative

Tasks

• Process and record new insurance policies and claims.

• Correspond with insured or agent to obtain information or inform them of account status or changes.

• Review and verify data, such as age, name, address, and principal sum and value of property on insurance applications and policies.

• Compare information from application to criteria for policy reinstatement and approve reinstatement when criteria are met.

• Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.

• Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance.

• Transcribe data to worksheets and enter data into computer for use in preparing documents and adjusting accounts.

• Organize and work with detailed office or warehouse records, maintaining files for each policyholder, including policies that are to be reinstated or cancelled.

• Notify insurance agent and accounting department of policy cancellation.

• Process, prepare, and submit business or government forms, such as submitting applications for coverage to insurance carriers.

• Calculate premiums, refunds, commissions, adjustments, and new reserve requirements, using insurance rate standards.

• Collect initial premiums and issue receipts.

• Check computations of interest accrued, premiums due, and settlement surrender on loan values.

• Interview clients and take their calls to provide customer service and obtain information on claims.

• Obtain computer printout of policy cancellations or retrieve cancellation cards from file.

• Compose business correspondence for supervisors, managers, and professionals.

Skills

• Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

• Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

• Writing - Communicating effectively in writing as appropriate for the needs of the audience.

• Speaking - Talking to others to convey information effectively.

• Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Knowledge

• Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

• Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

• English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.