Manager, Group Underwriting Operations

Job Summary

Manages the Underwriting Operations department which supports the large group underwriting units that prepare new business prospect quotes and renewals for existing business. Ensures adequate systems, tools, policies, and training to aid the business area to contribute to corporate sales and profitability initiatives.

Responsibilities

• Maintains and evaluates the effectiveness of underwriting techniques, adherence to regulations and policies, and group underwriting performance results in support of growth and profitability targets.
• Performs audits in accordance with executive and internal audit requirements.
• Develops and maintains automated rating systems including formulas, data and billing interfaces, customer outputs, calculations & results.
• Produces appropriate reporting for corporate meetings, sales/service and management, analytics and modeling, and special studies as needed.
• Reviews, monitors and executes off standard negotiation and approval policies.
• Trains and develops underwriters related to underwriting techniques, procedures and policies, systems and tools, legal requirements, and reviews/controls and approvals.
• Collaborates with other departments including sales/service, actuarial, finance, legal, internal audit, provider contracting, and care management to ensure appropriate coordination of elements impacting pricing are properly recognized.
• Performs other duties as assigned.

Qualifications

• Education and Experience: Bachelor’s degree in Computer Science, Business, Finance or related field, Master's degree preferred. 8 years progressive experience in health insurance underwriting and business systems, or equivalent financial services or related experience, 3 years of which are in a high-level individual contributor or leadership capacity.
• Technical Skills And Knowledge: In depth knowledge of underwriting techniques, funding mechanisms, and health benefit plans, experience rating of new and renewal business, and multiple lines of business. Advanced Microsoft Office (particularly spreadsheet and database applications) and health insurance underwriting system skills.

About Medical Mutual

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Benefits and Compensation

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

Investment in You

We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset. Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more. On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters. Discounts at many places in and around town, just for being a Medical Mutual team member. The opportunity to earn cash rewards for shopping with our customers. Business casual attire, including jeans.

Great Place to Work

We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

• Equipment provided for the role, including a laptop, monitors, keyboard, mouse and headset.
• On-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.