Medical Underwriting Nurse

Tokio Marine HCC

3d•$71,000 - $156,600

About The Position

Help us Insure it Tokio Marine HCC is a global industry-leading specialty insurance group, backed by the strength and stability of the Tokio Marine Group. Offering over 100 classes of specialty insurance, we empower clients to pursue opportunities confidently through our “Mind Over Risk” philosophy. More than an insurance company, we are an organization built on innovation, unity, and trust. At our core, we are Always Advancing, driven by innovation and an entrepreneurial spirit that keeps us moving forward. Our people are Experts in Tomorrow, using curiosity and smart working to anticipate what’s next. With a culture rooted in Reaching Out, we foster genuine collaboration and support, ensuring every individual has the opportunity to succeed and make a difference. Role Overview Relying on limited experience and knowledge, this role is responsible for accomplishing the following assignments. These assignments are varied in nature.

Requirements

4 Year / Bachelors Degree in a related field or the equivalent education and/or experience Required
Registered Nurse (RN) designation
5 Years Relevant and progressive clinical experience, preferably in an acute care or manage care/setting
5 Years Clinical experience, preferably in an acute care setting and/or managed care setting
Strong medical knowledge including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), medical terminology, COBRA, and HIPAA
Strong understanding of operations of third-party administrators(TPAs) and managing general underwriters (MGUs)
Knowledge of Carrier and Reinsurer reporting and contractual requirements
Possess and have ability to apply broad knowledge of principles, practices, and procedures
Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy
Exceptional organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing business environment
Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Occasional travel (up to 10% of time)

Responsibilities

Review issues forwarded from the Underwriting group that includes complex diagnoses and then estimate ongoing costs. Provide this information to the specific Underwriter.
Act as support for renewal underwriting. This includes, but is not limited to, assessing the severity code on on-going claims, adjusting reserves for accuracy, evaluating new referrals if effective within sixty days of notice, and assigning recommended specifics, if requested.
Educate Underwriters on how to recognize specific diagnoses and severe types of diagnoses to ensure these are identified and properly quoted during the underwriting process.

Benefits

Competitive salary and comprehensive benefit package
Strong learning culture with ongoing development opportunities
Opportunities for growth and career advancement
Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment
Basic life and disability insurance
401(k) plan with 6% company match
20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off
Paid parental leave
Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription
Student loan matching program
Employee discount program
An opportunity to do meaningful work and love what you do