Job DescriptionYour 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.
ResponsibilitiesYour 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
QualificationsYour 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
HybridThis 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 TeamPhysical 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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