Underwriter; Hybrid

Resp & Qualifications Purpose

Responsible for the attainment, effective management, and profitability of a designated book of business. This position utilizes underwriting judgment and exercises a level of authority. Pricing concessions are permitted up to the designated level of authority without further review. This position works closely with Sales and Account Management to ensure that client needs are met without compromising the corporate objectives. This position is responsible for monitoring financial performance and apprising management as needed.

• Works closely with the Account Manager and Underwriting Manager to provide alternate benefit plans, risk and/or funding arrangements. Update appropriate billing rate files, contracts, internal databases, etc. Complete the renewal process on smaller accounts, complete/update ASO and Stop Loss contracts and quote alternate funding arrangements with assistance from senior underwriter, consultant or management.
• Support attainment of corporate sales and profitability goals through the completion of new business quotes (e.g. demographics, claims experience, benefit levels, contribution strategy, carrier history, etc.) and the development of appropriate new business rates. Prepare RFP responses with assistance from senior staff. Utilize the latest actuarial tables and factors. Apply underwriting judgement when appropriate with assistance from management.
• Produces and monitors the issuance of Underwriting departmental reports for both internal management and external customers. Utilizes available data to isolate specific elements of account benefit plan performance and to support required rate actions as requested. Participate and have an active role in department special projects, while embracing change in a positive manner.
• Monitor financial performance of assigned book of business to provide advance notice of potential adverse outcomes to Underwriting Department management. Provide technical expertise and support to Account Managers regarding potential benefit changes and/or alternatives available to the account. Ensure account performance is accurately reflected on corporate financial statements and forecasts.
• Provide support to Sales and Account Management staff on Underwriting related issues. Provide support to Finance, Legal, Operations, etc. as requested. Communicating and negotiating directly with prospects, existing accounts, brokers & consultants (with assistance from Management).
• Participate in formal and informal training activities to develop and enhance knowledge of underwriting methodologies, funding options, products, legislation, Care First competitors, and to ensure compliance with corporate and departmental policies. Participation in internal and external courses, becoming proficient in new underwriter tools and applications and continuing to improve computer skills.
• Support corporate initiatives and projects, system deployments and overall system functionality by participating and providing feedback in user acceptance testing, participating in deployment and shakedown testing activities, reporting system issues, assisting in the rate validation process based on approved rate filings submitted to the appropriate insurance agencies, providing assistance in the maintenance of system data tables and ensuring the accuracy of the rates presented to the customer.

Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Experience: 3 years underwriting experience in group health, medical, ancillary benefits and/or pharmacy.

• Experience in the health insurance industry, knowledge of medical and ancillary products, experience with fully and self‑insured arrangements.

• Individual must be knowledgeable of risk selection and pricing methodologies used within the health insurance industry.
• Individual must also have knowledge of industry laws and regulations, products, benefit plan designs, market trends and alternate funding arrangements.
• Good…