- Approves renewal changes after verifying rates and product selection.
- Audits both new and renewing groups as necessary.
- Determines rates for alternative benefit variations.
- Ensures that group participation requirements are met.
- Prepare rate filings.
- Follows underwriting guidelines, policies, procedures and formulas in developing rates for new and renewal groups.
- Gathers the appropriate data used to determine the status of account refunds.
- Maintains spreadsheet information on group renewal history.
- Prepares memos and other correspondence to communicate changes in rates or benefits which have been approved by underwriting management.
- Processes the appropriate paperwork associated with renewal rate action and proposal closing.
- Supports internal sales staff regarding underwriting questions and/or resolves issues.
- Effectively communicates Underwriting decisions to other departments when necessary.
- May determine rates for alternative benefit variations and funding arrangements.
- Assist in the training process and mentoring of more junior level Underwriters.
- Prepares contingent premium settlements.
- Prepares the rate quotations and completes bid specifications.
- Processes group financial settlement calculations.
- Reviews and determines whether or not to grant exception requests.
- Supports management reporting efforts and the development of automated rating and analysis tools.
- May determine rates for alternative benefit variations and more complex funding arrangements.
- Actively involved in the preparation and maintenance of underwriting guidelines and rating policy.
- Actively involved with testing new rating, underwriting and front end systems.
- Answers questions regarding the basic factors used in developing rates, (group size, type of benefits, age/gender composition, large claims, experience provided from the prior carrier, current rates).
- Answers questions regarding the rate model and how it impacts rates in accordance with particular group demographic changes.
- Assesses health risk in a group environment (performs large claim analysis for ongoing claim cost).
- Develops prospective and renewal rates for group accounts in accordance with corporate and underwriting guidelines.
- Reviews and determines whether or not to grant exceptions to underwriting policy.
- Ensures the proper administration of underwriting and legislative guidelines for new and renewing groups.
- Handles large volume production with account specific issues (I.e. reinstatements, eligibility standards, group identification criteria, etc)
- Maintains a working knowledge of State and Federal regulations affecting group rating.
- Prepares rate breakouts and hierarchy definitions for group setups.
- Reviews and directs the preparation of experience reports for fiscal, ERISA and contingent premium settlements.
- May meet with external customers, brokers or account representatives to review underwriting calculations and provide explanations for rating principles.
- May prepare written summaries of recommendations and/or conditions of coverage for the group after completion of each analysis.
- May prepare an explanation of the past rating history, documenting benefit and enrollment changes, and providing a recommendation for benefit and financial options.
- Contributes to timely and accurate productivity by assisting the Manager in education to new Underwriters.
- Attends broker meetings, as well as meetings with sales executives, agents and/or groups to provide explanations of rating principles or rationale of rating positions.
- Contributes to the development of new rating formulas, methodologies and guidelines.
- Represent underwriting on Cambia workgroups and strategy sessions and serves as department representative where applicable.
- Demonstrated analytical and problem solving skills.
- Business sense including: finance, accounting, economics, and risk management principles.
- Effective verbal and written communications.
- Ability to build and maintain positive internal and external customer interactions.
- Ability to prioritize tasks and meet deadlines.
- Demonstrated technology proficiency, including Excel, Word, and applicable software applications.
- Demonstrated success with managing competing priorities and workload.
- Demonstrated proficiency working with complex computer software systems and automation.
- Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity and/or understanding.
- Proven understanding of business, including: finance, accounting, economics, and risk management.
- Demonstrated attainment of a high level of independent, consistent performance.
- Ability to organize, plan, prioritize and complete complex assignments with little or no supervision.
- Demonstrated ability to read the marketplace and competitive environment.
- medical, dental, and vision coverage for employees and their eligible family members
- annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)
- paid time off varying by role and tenure in addition to 10 company holidays
- up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)
- up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)
- one-time furniture and equipment allowance for employees working from home
- up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.
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Underwriting I, II, III or Senior - Portland, United States - Cambia Health Solutions
Description
Underwriting I, II, III or SeniorWork Remotely from Oregon, Washington, Idaho or Utah
Primary Job Purpose
Underwriter I, II, III & Senior evaluates each assigned group's risk and attaches the appropriate rate.
General Functions and Outcomes
Underwriter I (Entry Level)
Underwriter I
The Underwriter I would have a Bachelor's degree in business, math, statistics or related discipline or an equivalent combination of education and experience.
The Underwriter II would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 2 years related experience or an equivalent combination of education and experience.
The Underwriter III would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 4 years related experience or an equivalent combination of education and experience.
The Underwriter Senior would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 6 years related experience or an equivalent combination of education and experience.
The expected hiring range for a Underwriter I is $ $/30.48 hr depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full hourly range for this role is $21.20 to $37.50 per hour.
The expected hiring range for a Underwriter II is $56, $75,900.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full salary range for this role is $56,000.00 to $86,
The expected hiring range for a Underwriter III is $68, $92,000.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $64,000.00 to $104,
The expected hiring range for a Underwriter Sr is $82, $111,600.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $77,000.00 to $127,
#LI-remote
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:
If you need accommodation for any part of the application process because of a medical condition or disability, please email Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
