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Sr. Underwriter (Remote) - Healthcare EmblemHealth Summary:
Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames.
Underwrite new business portfolio including a mix of Large Group Experience Labor and Government, Commercial, Self-insured, and Large Group Community Rated accounts.
Advise the Underwriters in the Underwriting Leader's absence.
Support the department in the development of good working relationships between Underwriting and Account Management.
Assume responsibility for entry level training program and supporting new hire underwritings.
Support Organizational/Underwriting Initiatives, including improvements to tools used by Underwriting.
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.
Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets, and other databases/reporting tools.
Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.
Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.
Provide support explaining analysis to brokers and/or customers as needed.
Lead Organizational/Underwriting initiatives.
Serve as technical resource and mentor for lower-level Underwriters.
Review and analyze Request for Proposals (RFPs) and prospective rate quotes from Brokers, Consultants, and Marketing Representatives.
Prepare financial exhibits and answers Underwriting questions for Sales Representatives.
Requirements:
Bachelor's degree (preferably in Mathematics, Economics, Statistics, Finance or Business Administration) required
4 - 6+ years of Group Health Insurance Underwriting experience required
Knowledge of underwriting methodologies, especially Experience Rating Methodology required
Proficient in MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
Attention to detail; strong technical underwriting, math, and analytical skills required
Ability to make sound logical independent decisions required
Ability to successfully manage multiple tasks/projects with simultaneous competing priorities and deadlines required
Results-oriented with the ability to function in a fast-paced dynamic environment required
Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required
Additional Information
Requisition ID: 2401D
Hiring Range: $63,000-$110,000
Posted 17 hours ago Hospice Care Registered Nurse - North Shore Nassau County. Northwell Health Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Posted 17 hours ago Staff Accountant - entry level . Durst Image Technology US As a member of the Durst North America Accounting Team, the focus and priority of the Staff Accountant is sales tax, billing, general ledger and financial reporting for Durst Image Technology US. Specific responsibilities include: Posted 17 hours ago Sales Representative. Sysco This is an outside sales position responsible for promoting the company's products and services and for building relationships with new and existing accounts. The main focus is to help Sysco customers succeed while achieving sales and profit goals established by the company. This position may require working some non-traditional hours (evening, weekends, and holidays) to successfully meet customers' needs. Posted 17 hours ago Sales Consultant. Sysco This is an outside sales position responsible for promoting the company's products and services and for building relationships with new and existing accounts. The main focus is to help Sysco customers succeed while achieving sales and profit goals established by the company. This position may require working some non-traditional hours (evening, weekends, and holidays) to successfully meet customers' needs. Posted 17 hours ago Registered Nurse - Ambulatory (Internal Medicine) Northwell Health 5.Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient's conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient's family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Posted 17 hours ago Registered Nurse-Med/Surg. Northwell Health Exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient's conditions during treatments/procedures; reports and records same as appropriate; Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient's family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Posted 17 hours ago Registered Nurse - Ambulatory Internal Medicine. Northwell Health 5.Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient's conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient's family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Posted 17 hours ago Newborn Hearing Screening Technician. Pediatrix On a typical day, you will conduct newborn hearing screens, usually in a new mom's hospital room, and help educate parents about the importance of the screen using video and printed tools we provide. You will also be in charge of entering patient data and validation of hearing screens, as needed. Additional responsibilities may include helping to confirm or reschedule outpatient appointments, following up on any equipment issues and training new staff. Posted 17 hours ago Registered Nurse (RN) Psychiatric Nurse. Northwell Health Exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient's conditions during treatments/procedures; reports and records same as appropriate; Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient's family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Posted 17 hours ago Sr. Underwriter (Remote) - Healthcare EmblemHealth |
New York, NY, US, 10261 Salary Range: $72,000 – $101,000 Salary range estimated by Zippia Apply Now Description
Summary:
Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames.
Underwrite new business portfolio including a mix of Large Group Experience Labor and Government, Commercial, Self-insured, and Large Group Community Rated accounts.
Advise the Underwriters in the Underwriting Leader's absence.
Support the department in the development of good working relationships between Underwriting and Account Management.
Assume responsibility for entry level training program and supporting new hire underwritings.
Support Organizational/Underwriting Initiatives, including improvements to tools used by Underwriting.
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.
Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets, and other databases/reporting tools.
Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.
Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.
Provide support explaining analysis to brokers and/or customers as needed.
Lead Organizational/Underwriting initiatives.
Serve as technical resource and mentor for lower-level Underwriters.
Review and analyze Request for Proposals (RFPs) and prospective rate quotes from Brokers, Consultants, and Marketing Representatives.
Prepare financial exhibits and answers Underwriting questions for Sales Representatives.
Requirements:
Bachelor's degree (preferably in Mathematics, Economics, Statistics, Finance or Business Administration) required
4 - 6+ years of Group Health Insurance Underwriting experience required
Knowledge of underwriting methodologies, especially Experience Rating Methodology required
Proficient in MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
Attention to detail; strong technical underwriting, math, and analytical skills required
Ability to make sound logical independent decisions required
Ability to successfully manage multiple tasks/projects with simultaneous competing priorities and deadlines required
Results-oriented with the ability to function in a fast-paced dynamic environment required
Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required
Additional Information
Requisition ID: 2401D
Hiring Range: $63,000-$110,000
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