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Independence Blue Cross · 2 weeks ago

Underwriting Operations Analyst

Philadelphia, PA

Full-time

Hybrid

Mid Level

3+ years exp

Independence Blue Cross is looking for an Underwriting Operations Analyst to help renew and reimagine their business in the health care sector. The role focuses on supporting the Actuarial and Underwriting teams through operational processes, ensuring rate integrity, and conducting audits while maintaining compliance with underwriting guidelines.

Health CareHealth InsuranceInsuranceMedical

Responsibilities

Execution of production and operational processes/tasks to support the Actuarial and Underwriting teams

Responsible for the overall rate integrity in billing systems

Perform pre-billing and post-billing rate audits

Responsible for performing comprehensive group audit and identifying Underwriting/Enrollment compliance issues

Facilitation, investigation and resolution of data issues as assigned

Responsible for the auditing of new and renewal business

Position will be expected to track performance metrics, trends, and issues

Must be able to make decisions and provide analysis to Senior Level Analyst

Develop and maintain a thorough understanding of the Underwriting Guidelines, Marketing, Enrollment, and Rating Systems

Review the company's existing compliance policies and procedures to identify potential area of compliance vulnerability and risk of unethical, illegal, or improper conduct

Maintains user reference manuals and desk procedure documentation for any activity performed

Clearly document findings related to work performed

Organize and maintain relevant files

Documentation must be complete, clear, and concise

Qualification

Underwriting systems knowledgeInsurance concepts understandingMicrosoft Office proficiencyData analysis skillsVerbal communicationWritten communicationTeam collaborationDetail-oriented