Job Description

Your Role

The Mid Market Accounts Underwriting team serves group health care for mid-sized employers from 250 to 3,000 employees. Partnering with our large group sales organization, we work with California's and the nation's largest and most sophisticated employers and benefits consultants.

The Group Underwriter Large, Senior will report to the underwriting manager. In this role you will be part of an underwriting team responsible for balancing operating income and membership goals while protecting the company's bottom line from loss.

Responsibilities

Your Work
In this role, you will:

• 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

Qualifications

Your Knowledge and Experience

• Requires a bachelor's degree or equivalent experience
• Requires 5 years of prior relevant experience
• Strong knowledge of medical underwriting principles, practices, and techniques.
• Able to solve complex problems with sometimes ambiguous information
• Comprehensive knowledge of medical products including their financial drivers and funding arrangements including fully insured, ASO, minimum premium and refund accounting
• Excellent negotiation and customer service skills
• Ability to perform as a team member and collaborate with other teams/depts

Hybrid
This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

About the Team

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

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