Insurance Licensing Specialist (Health Focus)

Insurance Licensing Specialist (Health Focus)

Location: Frisco, TX | Onsite

Compensation & Schedule

• $23–$25 per hour (BOE)

• Monday–Friday, 8:00 AM–5:00 PM

• W2 position

Role Impact

• Independently manage the full lifecycle of health insurance producer licensing and carrier appointments

• Ensure agents remain compliant, appointment-ready, and audit-prepared at all times

• Maintain zero preventable licensing lapses and accurate, audit-ready records

Key Responsibilities

• Process resident and non-resident health insurance producer license applications and renewals via NIPR and state DOI portals

• Submit, track, and maintain carrier appointments, renewals, and terminations; monitor effective dates to prevent compliance gaps

• Ensure agents meet CMS, Medicare, ACA, and carrier-specific regulatory requirements

• Verify continuing education compliance and proactively monitor renewal deadlines

• Maintain E&O documentation and compliance records

• Order and review background investigations; escalate findings per guidelines

• Conduct routine audits of licensing records to maintain audit-ready documentation

• Coordinate and respond to carrier and regulatory audit requests

• Research multi-state licensing requirements and validate appropriate licensure for active agents

• Serve as primary point of contact for agent licensing inquiries and resolve complex issues independently

• Identify process improvement opportunities to enhance compliance accuracy and turnaround times

Minimum Qualifications

• 1+ year of direct experience processing health insurance producer licensing and carrier appointments

• Hands-on experience using NIPR and state Department of Insurance portals

• Experience managing resident and non-resident licenses

• Working knowledge of Medicare, ACA, or commercial health insurance compliance requirements

• High School Diploma or equivalent

Core Competencies

• Strong understanding of insurance producer licensing regulations

• Ability to manage multiple state deadlines and compliance requirements simultaneously

• High attention to detail with strong time management and prioritization skills

• Independent decision-making ability with minimal supervision

• Professional written and verbal communication skills

Core Tools & Systems

• NIPR and state DOI systems

• Carrier appointment platforms

• Microsoft Word, Excel, Outlook

• Document management and shared drive systems

Preferred Qualifications

• Experience supporting Medicare-focused agencies, FMO/IMO environments, or health insurance brokerages

• Experience preparing for CMS or carrier audits

• Exposure to process documentation and workflow improvement initiatives

LEGAL NOTICE

Employment is contingent upon successful completion of applicable pre-employment background checks in accordance with company guidelines. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from CornerStone and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at: https://www.cornerstonestaffing.com/privacy

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