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Geisinger · 2 weeks ago

Underwriter Senior, Geisinger Health Plan (Eastern United States resident)

Danville, PA

Full-time

Onsite

Senior Level

7+ years exp

Geisinger is a healthcare organization seeking a highly skilled Senior Underwriter to join their dynamic team. This role is critical in evaluating risk and pricing strategies to ensure sustainable growth across self-funded product lines.

Health CareHospitalMedical

Responsibilities

Calculates premium rate proposals and develops product portfolios for new client groups and renewal business

Contributes to the achievement of the financial and marketing objectives for the thorough assessment of group risk, the expected cost to deliver services, the expected marketability and competitiveness of health care services that will result in profitable enrollment

Uses actuarial data in standard application of various rating methodologies and formulas and identifies potential areas for application of underwriting judgment

Confers with management to identify and develop methods and procedures to obtain greater efficiency

Provides support to Management relative to financial forecasting, profitability and expense analysis, and assigned special projects

Analyze the risk of a group and calculate premium rates for new and renewal clients adhering to regulatory requirements, underwriting guidelines and pricing strategies to achieve target financial results

Analyze claims experience, demographics, benefit plans, group attributes and competitor data. Applies underwriting judgment as appropriate

Complete Request for Proposals providing explanations of rate action, configuration of benefits and market position to sales, client, broker, or consultant. Organizes proposal questionnaire responses to consulting firms

Presents key accounts to all levels of management providing an explanation of premium rating strategies, product offerings and market position specific to the account

Conducts conference calls with the clients and sales to interpret the renewal and new business proposal rating, negotiating premium reductions as part of these calls

Assists with designing and implementing rating models. Recommends measures to improve efficiency and ensure accuracy

Acts as a department resource for co-workers, sales, and inter-departmental projects

Assists in preparing various management reports to analyze the financial risk for the health plan. Utilizes a high level of experience in Excel and reporting programs for special analysis

Qualification

Administrative Services Only (ASO)Stop LossPharmacy risk evaluationExcel proficiencyFinancial forecastingUnderwriting judgmentRisk analysisNegotiation skillsTeam collaboration

Required

Associate's Degree

Minimum of 7 years-Related work experience

Strong expertise in Administrative Services Only (ASO), Stop Loss, and pharmacy risk evaluation

Ability to analyze claims experience, demographics, benefit plans, group attributes and competitor data

Experience in calculating premium rate proposals and developing product portfolios for new client groups and renewal business

Ability to confers with management to identify and develop methods and procedures to obtain greater efficiency

Experience in providing support to Management relative to financial forecasting, profitability and expense analysis

Ability to complete Request for Proposals providing explanations of rate action, configuration of benefits and market position

Experience in presenting key accounts to all levels of management

Ability to conduct conference calls with clients and sales to interpret renewal and new business proposal rating

Experience in assisting with designing and implementing rating models

Ability to act as a department resource for co-workers, sales, and inter-departmental projects

Experience in preparing various management reports to analyze the financial risk for the health plan

High level of experience in Excel and reporting programs for special analysis

Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

Company

Geisinger

Glassdoor3.5

Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.

Founded in 1915

Danville, Pennsylvania, USA

10001+ employees