Job Information
Cambia Health Underwriting I, II, III or Senior - R-4984_40483885656_15-4185 in Boise, Idaho
This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2194328 Underwriting I, II, III or Senior
Work 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)
- 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.
Underwriter II - In addition to the Functions and Outcomes Listed above for the UW I, the UW II, III & Senior...
- 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.
Underwriter III - In addition to the Functions and Outcomes Listed above for UW I & II, the III & Senior...
- 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 overage 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.
Underwriter Senior - In addition to the Functions and Outcomes Listed above for UW I, II & III, the UW Senior...
- 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.
Minimum Requirements
Underwriter I
Demonstrated analytical and problem solving skills.
Business