Summary:

• Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames.

• Underwrite new business portfolio including a mix of Large Group Experience Labor and Government, Commercial, SelfInsured, and Large Group Community Rated accounts.

• Advise the Underwriters in the Underwriting Leader's absence.

• Support the department in the development of good working relationships between Underwriting and Account Management.

• Assume responsibility for entry level training program and supporting new hire underwritings.

• Support Organizational/Underwriting Initiatives, including improvements to tools used by Underwriting.

Responsibilities:

• Underwrite new and existing large groups, within the published departmental time frames, and using the departmental and corporate guidelines, strategies, and goals.

• Evaluate risk using demographics, claims experience, predictive modeling, high-cost claimant review, and other criteria.

• Utilize various pricing models to develop both manual and experience rates.

• Provide clear documentation and recommendations to management, update tracking tools.

• Evaluate pricing impact of alternative plan designs.

• Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets, and other databases/reporting tools.

• Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.

• Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.

• Provide support explaining analysis to brokers and/or customers as needed.

• Lead Organizational/Underwriting initiatives.

• Serve as technical resource and mentor for lower-level Underwriters.

• Review and analyze Request for Proposals (RFPs) and prospective rate quotes from Brokers, Consultants, and Marketing Representatives.

• Prepare financial exhibits and answers Underwriting questions for Sales Representatives.

Requirements:

• Bachelor's degree (preferably in Mathematics, Economics, Statistics, Finance or Business Administration) required

• 4 - 6+ years of Group Health Insurance Underwriting experience required

• Knowledge of underwriting methodologies, especially Experience Rating Methodology required

• Proficient in MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required

• Attention to detail; strong technical underwriting, math, and analytical skills required

• Ability to make sound logical independent decisions required

• Ability to successfully manage multiple tasks/projects with simultaneous competing priorities and deadlines required

• Results-oriented with the ability to function in a fast-paced dynamic environment required

• Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required

Additional Information

• Requisition ID: 1000000550