Underwriter Ii - Oakland, United States - Kaiser Permanente

Kaiser Permanente

Verified Company

Oakland, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary:

Evaluates standard and nonstandard data to understand premium, claim, exposure, and population. Works with team to identify actionable data insights/irregularities and research solutions. With general direction, uses and documents models, tools, and assumptions that support business strategy analysis and risk management. Supports the implementation of quality and process improvement efforts. Works in support of department initiatives, program, and enterprise goals. With limited guidance, assesses risk of accounts. Leverages comprehensive knowledge of the external business environment. With limited guidance, presents renewal recommendations to clients/organization. With guidance as needed, collaborates internally to develop case/investment strategies. Follows protocols to develop rates and account plans that mitigate risk. Contributes to rate negotiations with external parties. Begins to interact with customers to ensure external understanding of underwriting approach. Helps address data needs and requests. Builds relationships with customers and channel partners. With some guidance, works with internal partners to bring financial solutions to customers. Provides and leverages self/peer review of own work. Maintains compliance with relevant policies, guidelines, and procedures.

Essential Responsibilities:

Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues selfdevelopment; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
Analyzes and reports on data by: evaluating standard and nonstandard data to understand premium, claim, exposure, and inform understanding of population risk, with limited guidance; developing a working understanding of how to evaluate credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account; working with team to identify actionable insights and potential data irregularities and research solutions; with general direction, using models (e.g., rate models and benefit pricing tools) and data analytics tools that support the analysis of business strategy and financial/underwriting risk management; and consistently documenting models, tools, assumptions, and data elements for increasingly complex accounts, as required.
Completes case and underwriting work by: processing account activities (e.g., running reports, requotes, investments, sold rates) for customers and/or book of business under moderate direction; in collaboration with internal departments, following established methodologies and protocols to develop rates that appropriately mitigate risk for the organization and optimize sustainable membership growth; contributing to the execution of an account plan that addresses threats and opportunities to ensure attainment of goals in collaboration with Sales and Account Management; exercising judgment when contributing to rate negotiations with external parties (e.g., brokers, consultants, and customers); and, with some guidance, representing Underwriting in partnership with internal and external partners to cocreate effective consultative solutions (e.g., case strategy, investment strategy, benefits strategy).
Engages with the external market by: beginning to independently interact with external market to help the market/customers understand the underwriting approach (e.g., rating methodology, rate drivers, reporting capabilities, and uniqueness from fee for service carriers); helping address data needs and requests reactively and proactively, as they arise; building relationships with customers and channel partners that enable them to understand KPs value; and, with some guidance, collaborating with account management and sales partners to bring strategic, financial solutions to customers, communicate product capabilities, explain funding arrangements, and negotiate conditions of offering and pricing within the limits of their authority.
Contributes to goals, initiatives, and program development efforts by: supporting the implementation of innovative new quality and process improvement efforts with general instructions; and executing their work in support of department initiatives, program goals, and enterprise goals.

Minimum Qualifications:

Bachelors degree in a related field OR Minimum three (3) years of experience in Underwriting, Marketplace Evaluations, Financial Analysis, or a directly related field.

Additional Requirements:

Knowledge, Skills, and Abilities (KSAs): Applied Data Analysis; Data Quality; Interpersonal Skills; Organizational Skills; Business Acumen; Microsoft Office

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