Emblem Health
Associate Underwriter (Remote) - Healthcare
Emblem Health, New York, New York, United States, 10007
Summary:
* Underwrite EmblemHealth's existing and new business accounts, including Broker Accounts within published time frames.* Process sold new business groups.* Maintain logs and complete various reports as needed.
Responsibilities:
* Underwrite new and existing large groups, within the published departmental time frames, and using the departmental and corporate guidelines, strategies and goals.* Evaluate risk using demographics, claims experience, predictive modeling, high-cost claimant review, and other criteria.* Utilize various pricing models to develop both manual and experience rates.* Provide clear documentation and recommendations to management.* Update tracking tools. Evaluate pricing impact of alternative plan designs.* Review and analyze Request for Proposals (RFPs) and prospective and renewal rate quotes from Brokers, Consultants, and Marketing Representatives.* Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets and other databases/reporting tools.* Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.* Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.* Provide support explaining analysis to brokers and/or customers as needed.* Perform other duties as assigned or required.
Requirements:
* Bachelor's degree in Mathematics, Economics, Statistics, Finance or Business Administration required* 2 - 3+ years of relevant, professional work experience required* 2 - 3+ years of Group Health Insurance Underwriting experience required* Knowledge of underwriting methodologies including Experience Rating Methodology required* Strong communications skills (verbal, written, presentation, interpersonal) with all types/levels of audience required* Proficiency with MS Office (Word, Excel, PowerPoint, Outlook, Teams) required
Additional Information
* Requisition ID: 2401U* Hiring Range: $45,000-$77,000
* Underwrite EmblemHealth's existing and new business accounts, including Broker Accounts within published time frames.* Process sold new business groups.* Maintain logs and complete various reports as needed.
Responsibilities:
* Underwrite new and existing large groups, within the published departmental time frames, and using the departmental and corporate guidelines, strategies and goals.* Evaluate risk using demographics, claims experience, predictive modeling, high-cost claimant review, and other criteria.* Utilize various pricing models to develop both manual and experience rates.* Provide clear documentation and recommendations to management.* Update tracking tools. Evaluate pricing impact of alternative plan designs.* Review and analyze Request for Proposals (RFPs) and prospective and renewal rate quotes from Brokers, Consultants, and Marketing Representatives.* Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets and other databases/reporting tools.* Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.* Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.* Provide support explaining analysis to brokers and/or customers as needed.* Perform other duties as assigned or required.
Requirements:
* Bachelor's degree in Mathematics, Economics, Statistics, Finance or Business Administration required* 2 - 3+ years of relevant, professional work experience required* 2 - 3+ years of Group Health Insurance Underwriting experience required* Knowledge of underwriting methodologies including Experience Rating Methodology required* Strong communications skills (verbal, written, presentation, interpersonal) with all types/levels of audience required* Proficiency with MS Office (Word, Excel, PowerPoint, Outlook, Teams) required
Additional Information
* Requisition ID: 2401U* Hiring Range: $45,000-$77,000