Insurance rater vs health insurance agent

Differences between insurance rater and health insurance agent duties and responsibilities

Insurance rater example responsibilities.

• Cold-Cal to generate leads for individual life and disability insurance and annuities.
• Maintain ISO manuals for branch office.
• Complete weekly reports process changes, cancellations and discuss customer accounts issues regarding payroll deductions and problem solving.
• Interpret issuance and rating instructions for new business, renewals, policy endorsements, and cancellations for small and middle market.
• Facilitate communications between doctors, hospitals, third party insurance companies and patients to obtain and verify patient billing information.
• Process Medicare supplemental claims with high quality and quantity performance ratings.

Health insurance agent example responsibilities.

• Manage communication points between corporate advisers, providers and patients for medical service advisory requests.
• Sold/Enrol individuals in ACA health plans over the phone by making cold calls on a daily basses.
• Explain healthcare benefits cover by major insurance carriers under the ACA.
• Post CPT codes and ICD-9 codes for every patient at check-out.
• Verify clients' eligibility and check clients' status within CMS and UHC system.
• Initiate appeals process on behalf of members, and assist with online web portal services.
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