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Job Title: Underwriting Auditor Assoc - #36502 SV
Job Location: NY: Brooklyn
Pay Rate: Open
Job Length: full time
Start Date: 2008-09-11

Company Name: WellPoint
Contact: Recruiter
Phone: email only please
Fax: email only please

Description: The Underwriting Audit Associate position is responsible, under the direction of Small Group Underwriting Manager, for the Re-credentialing of the small Group Market and Re-certification of Healthy New York Small Groups to ensure they have met the necessary criteria to qualify as a community rated small group and that Healthy NY groups continue to meet the HNY program guidelines. The position requires the review of Small Group Re-credentialing and Re-certification forms as well as auditing groups utilizing Corporate Tax records, Quarterly Payroll records as well as related documentation to ensure member and group eligibility and overall adherence to corporate small group underwriting guidelines. Other responsibilities include but are not limited to Fraud Alert reviews via excel system, New business small group sampling reviews and special projects as assigned. %%0A %%0A -Review and analyze SGR/Certification forms to Re-credential and Re-certify small groups in accordance with underwriting guidelines and Healthy NY %%0A program guidelines. .%%0A -Prepare Re-credentialing mailings for all Small Groups in accordance with all time lines. Process RR, RF and OR referrals%%0A -Manage electronic files work loads and take appropriate action to Qualify, cancel or reinstate groups or its members as appropriate. Prepare and mail%%0A notification letters to GBA/Brokers as needed.%%0A -handle inbound and outbound calls to GBA/Brokers within required time lines, Follow up and perform proactive calling.%%0A -Interfaces with GBA/Brokers/Attorneys/CPA and other business professionals.%%0A %%0A

Please refer to Job code anthem-36502 when responding to this ad.

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