Medical Mutual

Manager, Group Underwriting Operations

Medical Mutual$90K — $120K *
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science, Business, Finance or related field, with a Master's preferred.
  • 8 years of experience in health insurance underwriting and business systems, including 3 years in a leadership role.
  • In-depth knowledge of underwriting techniques, funding mechanisms, and health benefit plans.
  • Advanced skills in Microsoft Office, particularly in spreadsheet and database applications.
  • Experience with health insurance underwriting systems.

Responsibilities

  • Monitor and evaluate underwriting techniques and performance to meet growth and profitability targets.
  • Develop and maintain automated rating systems and ensure all underwriting factors are implemented effectively.
  • Produce reports for corporate meetings and special studies as needed.
  • Review and execute off-standard negotiation and approval policies.
  • Assist in training underwriters on techniques, procedures, and legal requirements.
  • Collaborate with various departments to ensure proper recognition of pricing impacts.
  • Perform other duties as assigned.

Benefits

  • On-site fitness centers or gym membership reimbursement.
  • On-site cafeteria at the headquarters with meals available.
  • Discounts at local establishments for employees.
  • Cash rewards for shopping with customers.
  • Business casual work environment, including jeans.
  • Employee bonus program.
  • 401(k) with company match and additional contributions.
  • Health Savings Account with matching contributions.
  • Comprehensive medical, dental, and vision insurance.
  • Access to Employee Assistance Program for professional support.
  • Up to 16 PTO days in the first year, with rollover options.
  • Parental leave after 120 days of service for eligible employees.
  • Career development programs and tuition reimbursement up to $5,250 per year.
Full Job Description
**Medical Mutual employees must submit their applications through MySource.**

Note: This is a hybrid position based in Brooklyn, OH, requiring 4 days on-site per week.

Job Summary:

Manages the Underwriting Operations department which supports the large group underwriting units that prepare new business prospect quotes and renewals for existing business. Ensures adequate systems, tools, policies, and training to aid the business area to contribute to corporate sales and profitability initiatives.

Responsibilities:
  • Monitors and evaluates the effectiveness of underwriting techniques, adherence to regulations and policies, and group underwriting performance results in support of growth and profitability targets. Perform audits in accordance with executive and internal audit requirements.
  • Provides continued development and maintenance of automated rating systems including formulas, data and billing interfaces, customer outputs, calculations & results. Ensures and coordinates all factors and tools needed for underwriting are appropriately implemented.
  • Produces appropriate reporting for corporate meetings, sales/service and management, analytics and modeling, and special studies as needed.
  • Reviews, monitors and executes off standard negotiation and approval policies.
  • Assists in training and development of underwriters related to underwriting techniques, procedures and policies, systems and tools, legal requirements, and reviews/controls and approvals.
  • Collaborates with other departments including sales/service, actuarial, finance, legal, internal audit, provider contracting, and care management to ensure appropriate coordination of elements impacting pricing are properly recognized.
  • Performs other duties as assigned.

Qualifications:

Education and Experience:
  • Bachelor's degree in Computer Science, Business, Finance or related field, Master's degree preferred.
  • 8 years progressive experience in health insurance underwriting and business systems, or equivalent financial services or related experience, 3 years of which are in a high-level individual contributor or leadership capacity.

Technical Skills and Knowledge:
  • In depth knowledge of underwriting techniques, funding mechanisms, and health benefit plans, experience rating of new and renewal business, and multiple lines of business.
  • Advanced Microsoft Office (particularly spreadsheet and database applications) and health insurance underwriting system skills

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

#LI-SC1 #LI-HYBRID

About Medical Mutual

Medical Mutual is a health insurance company that provides health insurance plans to individuals, families, and businesses. The company was founded in 1934 and is headquartered in Cleveland, Ohio. Medical Mutual offers a variety of health insurance plans, including HMO, PPO, and POS plans. The company also offers dental and vision insurance plans. Medical Mutual has a network of over 28,000 healthcare providers and serves over 1.6 million members. The company's mission is to provide high-quality, affordable health insurance to its members.
Learn more about Medical Mutual
Size
4,000 employees
Industry
Founded
1934

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