Group Underwriter II

HMSA•Honolulu, HI

5d•Hybrid

About The Position

The Group Underwriter II is responsible for accurately calculating and analyzing employer group rates using historical utilization data. This role involves analyzing group composition to ensure risk is not excessive, identifying anomalies, and producing rate renewals and related documentation. The position also requires preparing and analyzing various financial and utilization reports, supporting the account planning process, and identifying and resolving data problems. Additionally, the Group Underwriter II will provide guidance and training to Group Underwriter I and participate in special projects.

Requirements

Bachelor's degree and two years of related experience in group underwriting; or equivalent combination of education and work experience.
Demonstrated ability to work quickly and accurately with basic math formulas and concepts including fractions, percentages, ratios, and proportions.
Apply mathematical logic in practical situations.
Demonstrated ability to read and interpret documents such as group agreements, financial reports and procedure manuals.
Knowledge/experience of medical insurance plans and rating methods.
Familiarity with all group underwriting concepts, practices, and procedures.
Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.

Responsibilities

Accurately calculate and analyze a variety of employer group rates using historical utilization of the account.
Extract and analyze historical data of the account to ensure accuracy and good logic.
Analyze the overall composition of the group to ensure that the total risk is not excessive and identify any anomalies that may be present that would justify an adjustment.
Produce and audit rate renewals, rate filing worksheets, and exhibits for moderately complex accounts using pre-established and State Insurance Commissioner approved guidelines and templates.
Perform necessary additional research on issues that fall outside these guidelines.
Modify guidelines and templates as needed.
Answer moderately complex underwriting questions from accounts and Marketing Department on rate renewal calculations and various financial arrangements.
Provide consultation to Account Management and Sales and explain rationale and rating practices for moderately complex accounts to assist in rate renewal process.
Collaborate with the Underwriting team and account management team to ensure rates and financial options are appropriate.
Accurately prepare, analyze, and audit other reports as required by account (5500, utilization reports, financial reports, financial accountings, financial statements, etc.).
Prepare, analyze, and reconcile monthly billings for self-insured accounts based on the terms of the contract with the account.
Answer moderately complex underwriting questions from Account Management and Sales Department on statistical and financial reports.
Produce and audit other data as needed to support the Account Planning process.
Analyze and prepare rate proposals for prospective accounts based on information provided and recommend best course of action.
May accompany Account Management and Sales staff to client meetings to answer questions and provide additional underwriting information when needed.
Identify, research, and resolve data problems when they arise.
Identify, research, track, and report paid/unpaid case amounts as needed.
Prepare and audit monthly recovery reports with supporting documentation and respond timely to open queries.
Aggregate and organize data submissions and narratives for reinsurance audits and reinsurance renewal submissions.
Provide guidance and training to the Group Underwriter I as needed.
Participate in special projects.
Perform all other miscellaneous duties and responsibilities as directed or assigned.