Group Rating Analyst

Blue Cross and Blue Shield of Kansas

• $85K — $107K *
US-Anywhere
+ 2 other locationsRemote
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • High school diploma required, Bachelor's degree preferred in relevant fields.
  • Minimum 3 years in group rating, underwriting, or analytical roles in health insurance.
  • Experience with sales or broker relations in an underwriting capacity preferred.
  • Familiarity with self-funded and level-funded plans preferred.
  • Strong proficiency in Microsoft Office and underwriting systems.

Responsibilities

  • Perform production rating for various employer groups while ensuring accuracy.
  • Conduct quality checks for production to maintain consistency and reliability.
  • Support development and pricing for associations and AHPs in line with compliance standards.
  • Train team members and Sales staff on rating policies and system functionalities.
  • Process Group Rating Information Tracker options and related documents for enrolled groups.
  • Prepare and deliver prospect quotes aligned with corporate rating formulas.
  • Respond to Sales inquiries with accurate information regarding ratings and pricing.
  • Organize and maintain records of contracts, prospects, and key reporting elements.

Benefits

  • Eligible for remote, hybrid, or onsite work based on Telecommuting Policy.
  • Supportive team environment fostering collaboration and training opportunities.
Full Job Description
Job Summary

The Group Rating Analyst is responsible for executing the rating and underwriting of employer groups, ensuring accuracy and compliance with established methodologies. This role supports the Team Lead, Group Rating, in production rating, quality checking, contract facilitation, and reporting. The analyst collaborates with Sales and Underwriting to provide accurate group pricing, support inquiries, and maintain organized tracking of contracts, prospects, and concessions.

"This position is eligible to work remote, hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

What you'll do

  • Perform production rating for self-funded and fully insured employer groups, including Administrative Services Only (ASO), Level-Funded, and Merit, groups, ensuring accuracy and adherence to rating guidelines.
  • Assist in the quality checking process for production, ensuring accuracy and consistency.
  • Support the development and pricing of associations/AHPs, maintaining compliance with rating methodologies.
  • Train Group Rating team members and Sales staff on rating policies, methodologies, and system functionalities.
  • Complete and process Group Rating Information Tracker (GRIT) options, contracts, and related documents for enrolled and prospect groups in support of Sales.
  • Prepare and deliver prospect quotes using GRIT, ensuring alignment with corporate rating formula and underwriting standards.
  • Respond to inquiries from Sales, providing clear and accurate information regarding rating methodologies and group pricing.
  • Facilitate the organization and maintenance of self-funded group contracts.
  • Track and maintain records of prospects, contracts, concessions, and other key reporting elements, ensuring accurate documentation and accessibility.


What you need

Education and Experience:

  • High school diploma or equivalent required. Bachelor's degree in Mathematics, Statistics, Business, Finance, or a related field preferred.
  • Minimum of 3 years of experience in group rating, underwriting, or a related analytical role within health insurance required.
  • Experience supporting sales or broker relationships in an underwriting or pricing capacity preferred.
  • Familiarity with different funding arrangements, including self-funded and level-funded plans, is preferred.


Knowledge/Skills/Abilities
  • Strong analytical and problem-solving skills to ensure accuracy in rating and pricing.
  • Detail-oriented with the ability to conduct quality checks and maintain consistency in rating methodologies.
  • Excellent communication skills to effectively support Sales and Underwriting teams.
  • Ability to interpret and apply rating methodologies for a variety of funding arrangements, including self-funded and fully insured groups.
  • Proficiency in managing contracts, documentation, and tracking reports.
  • Strong organizational skills to manage multiple tasks and meet deadlines.
  • Ability to work collaboratively within a team-oriented environment.
  • Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems. Knowledge of health insurance underwriting principles and regulatory requirements preferred.


Compensation

$85,600 - $107,000
Exempt Grade 16

  • Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

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