Manager, Group Underwriting Operations

Medical Mutual•Cleveland, OH

22h•Hybrid

About The Position

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. Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. Medical Mutual’s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us. There’s a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans. We’re not just one of the largest health insurance companies based in Ohio, we’re also the longest running. Founded in 1934, we’re proud of our rich history with the communities where we live and work. We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

Requirements

Bachelor’s degree in Computer Science, Business, Finance or related field
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.
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

Nice To Haves

Master's degree preferred.

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.

Benefits

We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
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.
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.
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.
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.