Group Underwriter III

HMSA•Honolulu, HI

6d•Hybrid

About The Position

This role involves accurately calculating and analyzing employer group rates based on historical utilization, identifying and adjusting for risk anomalies, and producing rate renewals and related documentation. The position requires preparing and analyzing various financial and utilization reports, reconciling monthly billings for self-insured accounts, and supporting the account planning process with data analysis and rate proposals. Additionally, the role includes updating and maintaining rating systems, resolving data issues, tracking case amounts, preparing recovery reports, and aggregating data for reinsurance audits. The Group Underwriter III will also deliver training and coaching to colleagues, contribute to departmental best practices, and participate in special projects. Miscellaneous duties as directed are also part of the role.

Requirements

Bachelor's degree and three 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.
Proficient with all group underwriting concepts, practices, and procedures.
Basic knowledge of Microsoft Office applications, including Word, Excel, and Outlook.

Responsibilities

Accurately calculate and analyze a variety of employer group rates using historical utilization data.
Extract and analyze historical data to ensure accuracy and good logic.
Analyze the overall composition of the group to ensure total risk is not excessive and identify anomalies.
Produce and audit rate renewals, rate filing worksheets, and exhibits for moderately complex to very complex accounts.
Modify guidelines and templates as needed.
Answer complex underwriting questions from accounts and the Marketing Department.
Provide consultation to Account Management and Sales, explaining rationale and rating practices.
Collaborate with the Underwriting team and account management team to ensure rates and financial options are appropriate.
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.
Answer moderately complex to complex underwriting questions on statistical and financial reports.
Produce and audit other data to support the Account Planning process.
Analyze and prepare rate proposals for prospective accounts.
May accompany Account Management and Sales staff to client meetings.
Update and maintain rating and reporting systems.
Research and resolve data problems.
Identify, research, track, and report paid/unpaid case amounts.
Prepare and audit monthly recovery reports with supporting documentation.
Aggregate and organize data submissions and narratives for reinsurance audits and reinsurance renewal submissions.
Deliver training and coaching to other underwriting colleagues.
Lead input on efforts to support best practices for the department and HMSA.
Participate in special projects.
Perform all other miscellaneous duties and responsibilities as directed or assigned.