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Cambia Health Solutions · 1 month ago

Underwriter I, II, III, or Senior

Lewiston, ID

Full-time

Hybrid

Entry, Mid, Senior Level

$22.70/hr - $33.35/hr

Cambia Health Solutions is dedicated to creating a person-focused and economically sustainable health care system. They are seeking Underwriters at various levels to evaluate risks and determine appropriate rates for assigned groups, contributing to the overall mission of improving health care accessibility and quality.

BiotechnologyHealth CareInformation Technology

Responsibilities

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 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

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 workgroups and strategy sessions and serves as department representative where applicable

Qualification

Analytical skillsRisk management principlesComplex software proficiencyFinance knowledgeAccounting knowledgeEconomics knowledgeTechnology proficiencyEffective communicationCustomer interactionTask prioritizationAI tools experienceProblem solving

Required

Bachelor's degree in business, math, statistics or related discipline or an equivalent combination of education and experience for Underwriter I

Bachelor's degree in business, math, statistics or related discipline and a minimum of 2 years related experience or an equivalent combination of education and experience for Underwriter II

Bachelor's degree in business, math, statistics or related discipline and a minimum of 4 years related experience or an equivalent combination of education and experience for Underwriter III

Bachelor's degree in business, math, statistics or related discipline and a minimum of 6 years related experience or an equivalent combination of education and experience for Underwriter Senior

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

Preferred

Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Demonstrated success with managing competing priorities and workload for Underwriter II

Demonstrated proficiency working with complex computer software systems and automation for Underwriter III

Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity and/or understanding for Underwriter III

Proven understanding of business, including: finance, accounting, economics, and risk management for Underwriter Senior

Demonstrated attainment of a high level of independent, consistent performance for Underwriter Senior

Ability to organize, plan, prioritize and complete complex assignments with little or no supervision for Underwriter Senior

Demonstrated ability to read the marketplace and competitive environment for Underwriter Senior

Benefits

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.

Annual employer contribution to a health savings account.

Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.

Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).

Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).

Award-winning wellness programs that reward you for participation.

Employee Assistance Fund for those in need.

Commute and parking benefits.