Group Underwriter - Large, Senior

Blue Shield of CaliforniaWoodland Hills, CA
5d

About The Position

Your Role The Premier Accounts Underwriting team serves group health care for national and public sector companies with over 3,000 employees and all labor and trust groups. Partnering with our national (large) accounts 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.

Requirements

  • Requires a bachelor's degree or equivalent experience
  • Requires at least 5 years of prior relevant experience
  • Requires strong knowledge of medical underwriting principles, practices and techniques
  • Requires ability to solve complex problems with sometimes ambiguous information
  • Requires comprehensive knowledge of medical products including their financial drivers and funding arrangements including fully insured, ASO, minimum premium and refund accounting
  • Requires excellent negotiation and customer service skills
  • Requires ability to perform as a team member and collaborate with other teams/depts

Nice To Haves

  • Experience working for a national insurance carrier working on larger national account

Responsibilities

  • 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
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