Part Time Senior Underwriter (Seasonal)

About the role

The Senior Underwriter is responsible for analyzing and assessing the risk of new business quotes and existing business renewals for fully insured and Administrative Service Only groups. They ensure profitability, customer satisfaction, and corporate goals/objectives for each assigned account. The role also provides technical advice/support to less experienced underwriters within all aspects of the underwriting process.

Responsibilities

• Analyze and assess the risk of new business quotes and existing business renewals for fully insured and Administrative Service Only groups.
• Ensure profitability, customer satisfaction, and corporate goals/objectives for each assigned account.
• Provide technical advice/support to less experienced underwriters within all aspects of the underwriting process.
• Support new group sales and retention of commercial business.
• Develop premium development for future risk impacting a group's loss ratio and financial position of the health insurance division.

Requirements

• Prepared and produced New Business Proposals meeting corporate turnaround times, RFP timelines, profitability, quality, and customer satisfaction.
• Produced existing group renewals, alternative benefit designs, benefit changes, and high-cost claimant projections for fully insured and self-funded groups meeting corporate turnaround times, profitability, quality, and customer satisfaction.
• Negotiate group health insurance rates and benefits with sales and external brokers.
• Attend New Business & Change Group Intake meetings internally and externally with clients to ensure accurate benefit and claim payment setup.
• Assist Sales Managers & Account Representatives with questions, concerns, and details in regard to new/existing accounts.
• Develop and maintain strong relationships with brokers, consultants, and internal stakeholders to support account retention and acquisition.
• Maintain existing databases, spreadsheets, underwriting guidelines, and manuals with vital underwriting information for internal and external use.
• Identify deficiencies and possible enhancements in department administrative policies and procedures affecting customer satisfaction and corporate profitability.
• Stay current on industry trends, regulatory changes (ACA, ERISA, HIPAA), and competitor activity impacting underwriting practices.
• Ensure compliance with internal controls and external regulatory standards.

Qualifications

• Bachelor’s Degree in Business, Actuarial Science, Finance, Mathematics, Healthcare Administration or related field or equivalent combination of education and experience.
• 5 or more years of experience in health insurance underwriting.
• Strong knowledge and understanding of group rating methodologies, funding arrangements (fully insured, level-funded, self-funded), and risk adjustment.
• Proficiency in Microsoft Office Suite and underwriting/pricing tools.
• Experience with health plan systems and CRM platforms.
• Exceptional analytical and decision-making skills.
• Strong communication and presentation abilities.
• Strong knowledge of current Federal and State health insurance regulations.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Skills

• Knowledge of WPS systems and processes, including: OnBase, Facets, WebMUGs.
• High-speed cable or fiber internet connection (minimum 10 Mbps downstream and at least 1 Mbps upstream).

Benefits

• Remote and hybrid work options available.
• Prorated Holiday Pay and On-Demand PTO.