Underwriter , II, III, or Senior

Position: Underwriter I, II, III, or Senior
** Build a career with purpose. Join our*
* ** to create a person-focused and economically sustainable health care system.*
* * 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.
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
* 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.
* 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 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.
* Contribute 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 work groups and strategy sessions and serves as department representative where applicable.
* Work alongside diverse teams building cutting-edge solutions to transform health care.
* Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
* Grow your career with a company committed to helping you succeed.
* Give back to your community by participating in Cambia-supported outreach programs.
* Connect with colleagues who share similar interests and backgrounds through our employee resource…