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HMSA · 1 week ago

Group Underwriter III

Honolulu, HI

Full-time

Hybrid

Mid, Senior Level

$68K/yr - $133K/yr

3+ years exp

HMSA is seeking a Group Underwriter III to prepare and analyze rate proposals and financial reports to support the Account Management and Sales Department. The role involves ensuring the financial well-being of accounts, performing various reinsurance functions, and serving as a resource to peer Group Underwriters.

AssociationHealth CareInsuranceMedical

Responsibilities

Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure that the total risk is not excessive. Produce and audit rate renewals, rate filing worksheets, and exhibits for moderately complex to very complex accounts using pre-established guidelines and templates as a basis for analysis, performing necessary additional research on issues that fall outside these guidelines. Will modify guidelines and templates as needed. Answer complex underwriting questions from accounts and Marketing Department on rate renewal calculations and various financial arrangements. Provide consultation to Account Management and Sales and explain rationale and rating practices for highly complex accounts to assist in rate renewal process. Collaborating with the Underwriting team and account management team to ensure rates and financial options are appropriate

Accurately prepare, analyze, and audit other reports as required by account (5500, utilization reports, financial reports, financial accountings, financial statements, etc.). Prepare, analyze, and reconcile monthly billings for self-insured accounts based on the terms of the contract with the account. Answer moderately complex to complex underwriting questions from Account Management and Sales Department on statistical and financial reports

Produce and audit other data as needed to support the Account Planning process. Analyze and prepare rate proposals for prospective accounts based on information provided and recommend best course of action. May accompany Account Management and Sales staff to client meetings to answer questions and provide additional underwriting information when needed

Update and maintain rating and reporting system. Research and resolve data problems when they arise. Identify, research, track, and report paid/unpaid case amounts as needed. Prepare and audit monthly recovery reports with supporting documentation and respond timely to open queries. Aggregating and organizing data submissions and narratives for reinsurance audits and reinsurance renewal submissions. Deliver training and coaching to other underwriting colleagues. Leading input on efforts to support best practices for the department and HMSA. Participate in special projects

Perform all other miscellaneous duties and responsibilities as directed or assigned

Qualification

Group underwriting experienceMedical insurance knowledgeFinancial report analysisMathematical logicMicrosoft Office proficiencyTrainingCoachingCommunication skillsTeam collaboration

Required

Bachelor's degree and three years of related experience in group underwriting; or equivalent combination of education and work experience

Demonstrated ability to work quickly and accurately with basic math formulas and concepts including fractions, percentages, ratios, and proportions. Apply mathematical logic in practical situations

Demonstrated ability to read and interpret documents such as group agreements, financial reports, and procedure manuals

Knowledge/experience of medical insurance plans and rating methods

Proficient with all group underwriting concepts, practices, and procedures

Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook