Pricing & Review Specialist

SUMMARY This position is responsible for analyzing, reviewing, and making final decisions for benefit risk, workers’ compensation risk, and pricing based on review criteria to provide competitive ratings for either prospective or existing clients, as assigned. PROSPECTIVE CLIENTS – ESSENTIAL FUNCTIONS Ensures prospective client bids are renewed expeditiously and accurately. Analyzes, reviews, formulates pricing, compares relativity, and makes final decisions on medical risk for prospective clients. Analyzes, reviews, formulates pricing and works with the Risk Management group to decide workers’ compensation risk for prospective clients. Analyzes, reviews, prices, and completes final determination on prospective clients. Gathers all information for review and pricing for Employment Practice Liability Insurance (EPLI). Reviews safety inspection visits by Safety Consultants to clients with workers’ compensation issues to assist with final review process. Prepares information for submission to the Risk Management group, workers’ compensation carrier, and EPLI carrier. Synthesizes “estimates” into “bids” when required documentation has been supplied and reviewed by the Sales Consultants. Collaborates with internal constituents (Client Renewals, Health & Welfare, Sales, Legal, Workers’ Compensation, and New Client Sales) on an ad‑hoc basis to confirm account accuracy. Ensures all approval‑related requirements are completed and communicated to appropriate departments. Handles complex and escalated sales questions and phone calls with strong customer‑service skills. Enters pricing data into the Insperity Information Management System (AIMS) and validates modifiers to not exceed guideline thresholds. Reconciles current medical billing and census data to validate accurate medical pricing and risk assessment. Presents Pricing & Review overview to attendees of the Initial Sales Training (IST). Participates in the development of policies and procedures impacting the Pricing & Review group. Prepares clear, concise, and accurate management reports and presentations. CLIENT RENEWAL – ESSENTIAL FUNCTIONS Ensures client direct allocations and risk assessment is accurately calculated and communicated to the Client Renewal team expeditiously. Analyzes, reviews, and compares clients for medical claims, allocations, participation, coverage option pricing, and vendor data to formulate renewal pricing. Formulates renewal workers’ compensation pricing, including classification allocation, claims, and overall allocation differences. Summarizes medical and workers’ compensation claim information and enters data into the client database. Prices clients with name and/or FEIN changes and averages prices for clients renewing together. Conducts pricing re‑evaluations. Maintains productive relationships with internal and external customers and vendors on a frequent basis. Participates in policy and procedure development for the Pricing & Review group. Acts as back‑up to Senior Specialists and Supervisors. Prepares clear, concise, and accurate management reports and presentations. Partners with the Innovative Technology Solutions department to improve daily processes and assist with testing required to enhance technology. QUALIFICATIONS High School Diploma or equivalent is required; Bachelor’s Degree in a related field preferred. One to two years of experience in a related field preferred. Knowledge of business administration, mathematics (including algebra and ratios), and the PEO industry. Ability to interpret, analyze, organize, and apply company operations to the sales process. Strong communication skills, both verbal and written. Strong analytical aptitude and ability to meet measurable performance targets. Knowledge of health and welfare pricing, medical terminology, benefits structure, and renewal processes. Experience with workers’ compensation risk review, coverage bases, and state variations. Complex problem‑solving and decision‑making skills; works accurately and efficiently under tight deadlines. Customer‑service orientation with frequent interaction with clients and vendors. Proficiency with data‑entry software (SLIS, MS Access), and advanced Excel knowledge. Ability to use independent judgment and ensure client satisfaction. EEO STATEMENT Insperity is an equal‑opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr