Associate Underwriter (Remote) - Healthcare - EmblemHealth : Job Details

Associate Underwriter (Remote) - Healthcare

EmblemHealth

Job Location : New York,NY, USA

Posted on : 2024-11-11T08:47:48Z

Job Description :
Summary:
  • Underwrite EmblemHealth's existing and new business accounts, including Broker Accounts within published time frames.
  • Process sold new business groups.
  • Maintain logs and complete various reports as needed.
Responsibilities:
  • Underwrite new and existing large groups, within the published departmental time frames, and using the departmental and corporate guidelines, strategies and goals.
  • Evaluate risk using demographics, claims experience, predictive modeling, high-cost claimant review, and other criteria.
  • Utilize various pricing models to develop both manual and experience rates.
  • Provide clear documentation and recommendations to management.
  • Update tracking tools. Evaluate pricing impact of alternative plan designs.
  • Review and analyze Request for Proposals (RFPs) and prospective and renewal rate quotes from Brokers, Consultants, and Marketing Representatives.
  • Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets and other databases/reporting tools.
  • Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.
  • Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.
  • Provide support explaining analysis to brokers and/or customers as needed.
  • Perform other duties as assigned or required.
Requirements:
  • Bachelor's degree in Mathematics, Economics, Statistics, Finance or Business Administration required
  • 2 - 3+ years of relevant, professional work experience required
  • 2 - 3+ years of Group Health Insurance Underwriting experience required
  • Knowledge of underwriting methodologies including Experience Rating Methodology required
  • Strong communications skills (verbal, written, presentation, interpersonal) with all types/levels of audience required
  • Proficiency with MS Office (Word, Excel, PowerPoint, Outlook, Teams) required
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