- Responsible for a book of business of renewing accounts and writing new business at profitable levels to help HMIG achieve overall business targets or assigned volume of new applications or RFP's. Utilize various systems and tools to obtain necessary data and accurately complete and track assigned work.
- Calculate rates, employ different financial arrangements, interpret pricing policy and adapt to unusual situations.
- Identify questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for these situations.
- Apply corporate risk management policies and adjust for unusual situations that may not have been considered in the standard pricing formula.
- Identify when clients do not comply with corporate risk management policies, disclosure rules, or conditions/criteria for enrollment.
- Recommend appropriate adaptation of pricing within the appropriate policy/guideline to accommodate each client specific or individual situation.
- Analyze member risk and engage internal departments to manage this risk.
- Support other internal initiatives which may include but not limited to fraud detection, corporate compliance, wellness/disease management, and product development efforts.
- Complete renewals, prospect quotes, review of lower level analyst work in accordance with production and timeliness standards.
- Adapt to changing priorities as quotes come in from different markets and adapt to new priorities and requirements.
- Communicate recommendations of policy adaptation to accommodate client-specific situations supported by a clear rationale or management principles.
- Influence sales and external audiences toward appropriate risk solutions.
- Influence sales team towards the appropriate pricing and structure of each quote. When necessary, influence other market partners, e.g. brokers and TPA's
- Guide, assist and provide technical assistance to lower level analysts.
- Assume primary support for maintenance of departmental tools and processes, as assigned,
- Represent departmental perspectives and needs on system development and process improvement teams, as assigned,
- Other duties as assigned or requested.
- Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline
- 6 years relevant, progressive experience in the area of specialization
- None
- 5 - 7 years' experience in underwriting of self-funded and converting fully insured prospects to self-funding
- None
- Skilled and knowledgeable interaction with various internal departments and external stakeholders
- Ability to use applicable computer systems, electronic tools and applications
- Ability to work independently and assume responsibility for projects across a continuum from routine to highly complex
- Demonstrate an understanding and support of corporate and departmental goals and initiatives
- Demonstrate ethical business practices with adherence to all privacy and confidentiality policies and regulations
- Good problem-solving, organizational, and negotiation skills required
- Excellent math aptitude required to complete analysis
- None
- Actively pursuing a professional designation related to the healthcare industry and be willing to complete one course within twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP)
-
Associate Medical Stop Loss Underwriter
2 weeks ago
Highmark Health Not specified, United States Full timeCompany : · HM Insurance GroupJob Description : · JOB SUMMARY · This job pricies quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses discretion of Underwriting author ...
-
Underwriting Director
3 days ago
Higginbotham Insurance Agency Not specified, United States Full timeHigginbotham, a privately held, independent insurance and financial services firm that ranks within the top 20 nationwide, has an immediate opening for a remote Underwriting Director. · We are looking for top talent to join our team as an Executive Director, Property Underwriting ...
-
AVP, Product Leader
2 weeks ago
CNA Not specified, United States Full timeYou have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest pot ...
-
VP - General Liability
2 weeks ago
The Amynta Group Not specified, United States Full timeWe're thrilled that you are interested in joining us here at the Amynta Group · Purpose of the Job: · VP-Underwriting is responsible for producing, underwriting, managing and retaining profitable business for the company. The primary objective of the VP-Underwriting is to underwr ...
-
Commercial Product Analyst
2 weeks ago
Country Financial Not specified, United States Full timeAs a Commercial Product Development Analyst, you will be focused on researching and developing new commercial product and service offerings to drive new business strategies based on industry and customer research. You will also work on analysis and reporting around our commercial ...
-
Commercial Market Manager
1 week ago
Country Financial Not specified, United States Full timeCOUNTRY Financial is looking for a highly motivated, forward-thinking individual, to focus on profitable growth of our multi-line Commercial Insurance Products. In this role, you'll partner will Sales, Marketing, Underwriting, Actuary, and Product to ensure top-line revenue growt ...
-
Underwriting Consultant
5 days ago
Intact Insurance Not specified, United States Full timeJob Description · We currently have an opportunity for an Underwriting Consultant to join our Specialty Property team located in Georgia on a remote schedule. This position underwrites risks including the selection and rejection of new and renewal business for the most complex, s ...
-
Liberty Information Technology Limited Not specified, United States Full timePay Philosophy · The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these p ...
-
Liberty Mutual Not specified, United States Full timePay Philosophy · The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these p ...
-
Senior Market Analytics Analyst
3 weeks ago
Country Financial Not specified, United States Full timeAs a Senior Market Analytics Analyst within the Market Analytics team at COUNTRY Financial, you will equip Market Managers (a.k.a. State Managers) with insights, data, and analysis to drive strategic business decisions and results. You will engage with a variety of critical compo ...
-
ERM Consultant, Credit Risk Insurance Analytics
2 weeks ago
Liberty Information Technology Limited Not specified, United States Full timePay Philosophy · The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these p ...
-
AVP, Surety Claims
3 weeks ago
Sompo International Holdings Ltd. Not specified, United States Full timeAs a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of inte ...
-
AVP, Group Underwriting
1 week ago
Unum Group Not specified, United States Full timeJob Posting End Date: May 25 · When you join the team at Unum, you become part of an organization committed to helping you thrive. · Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's mome ...
-
Sr. Underwriting Quality Systems Analyst
4 days ago
Voya Financial, Inc. Not specified, United States Full timeTogether we fight for everyone's opportunity for a better financial future. · We will do this together - with customers, partners and colleagues. We will fight for others, not against: We will stand up for and champion everyone's access to opportunities. The status quo is not goo ...
-
Assistant Product Manager
2 weeks ago
GAINSCO Not specified, United States Full timeAre You Driven? We Are. · We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make daily ...
-
Complex Cyber Claims Specialist
6 days ago
AmTrust Financial Services, Inc. Not specified, United States Full timeOverview · AmTrust Cyber Claims Adjuster · Come and join the AmTrust Cyber Team We are a growing and flourishing Cyber/Tech Team with offices around the country. In this role, you will be the AmTrust Cyber Claims Adjuster responsible for: handling first and third-party cyber clai ...
-
Lead Actuary
1 week ago
Baldwin Risk Partners Not specified, United States Full timeMillennial Specialty Insurance, LLC is one of the largest non-carrier-affiliated Managing General Agencies (MGAs) in the United States. Combining expert underwriting with industry-leading technology, MSI creates a superior insurance experience for carriers, distribution partners, ...
-
Assistant Director, State Product Management
1 week ago
The Hartford Financial Services Group, Inc. Not specified, United States Full timeAD Product Management - EM07CE · We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our te ...
-
Actuarial Manager
3 weeks ago
CopperPoint Insurance Companies Not specified, United States Full timeCopperPoint has an exciting opportunity for an Actuarial Manager. The Actuarial Manager performs analytical functions having strategic and financial impact to corporate and long-term success. This position is responsible for the quantification of reserves, pricing levels and fore ...
-
Sr. Product Analyst
2 weeks ago
Mercury Insurance Not specified, United States Full timeJoin an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2023 · Position Summary · At Mercury, members of the Product Management team are responsible for driv ...
Senior Medical Stop Loss Underwriter - Not specified, United States - Highmark Health
Description
Company :HM Insurance GroupJob Description :
JOB SUMMARY
This job prices quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of Underwriting authority within the policies of HMIG and ensures appropriate levels of profitability and growth over time. Identifying when to decline quotes that do not fit into the overall HMIG strategy and risk structure. Analyzes risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership. Analyzes data such as financial conditions of the organization, participation percentage, type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered and to set the rates. Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one or more of the following: underwriting results, rate computations and financial activity. Provides expense estimates and accurate analysis of financial exhibits. The incumbent provides oversight, guidance and/or assistance to lower level HMIG Underwriters.
ESSENTIAL RESPONSIBILITIES
Required
Required
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$67,500.00
Pay Range Maximum:
$124,800.00
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
