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Blue Shield of California · 17 hours ago

Group Underwriter - Large, Senior

Woodland Hills, CA, United States

Full-time

Hybrid

Mid, Senior Level

$102K/yr - $154K/yr

5+ years exp

Blue Shield of California is a nonprofit organization focusing on transforming healthcare to be affordable and high-quality. The Group Underwriter - Large, Senior will be responsible for managing underwriting processes for large group health accounts, ensuring financial viability while collaborating with sales teams and providing guidance to other underwriters.

Financial ServicesHealth InsuranceNon Profit

No H1B

Responsibilities

Apply appropriate actuarial factors and rating methods to determine potential exposure to Blue Shield’s products

Collect, review and assess customer specific data including financial condition, employee demographics and past claim experience to determine degree of risk, appropriate benefits and rates

Review requests for quotes, develops and reviews bid specifications, benefit plan design features and financial alternatives for complex, fully insured cases as well as alternative funding arrangements (e.g., ASO, minimum premium, etc.)

Participate in discussions and negotiates with sales representatives on new and renewal business. May be included in discussions with brokers, consultants and employers

Review and approve rates in sales requests and updates financial and tracking databases

Provide underwriting knowledge sharing, education, advice and coaching to other underwriters and departments

Prepare ad hoc statistical reports

Qualification

Medical underwriting knowledgeCustomer service skillsNegotiation skillsMedical productsProblem-solving abilityTeam collaborationBachelor's degreeExperience in insurance

Required

Requires a bachelor's degree or equivalent experience

Requires at least 5 years of prior relevant experience

Requires strong knowledge of medical underwriting principles, practices and techniques

Requires ability to solve complex problems with sometimes ambiguous information

Requires comprehensive knowledge of medical products including their financial drivers and funding arrangements including fully insured, ASO, minimum premium and refund accounting

Requires excellent negotiation and customer service skills

Requires ability to perform as a team member and collaborate with other teams/depts