Part Time Senior Underwriter (Seasonal)

WPS Health Solutions NewMadison, WI
Remote

About The Position

The Senior Underwriter is responsible for analyzing and assessing the risk of new business quotes and existing business renewals for fully insured and Administrative Service Only groups. Responsible for ensuring profitability, customer satisfaction, and corporate goals/objectives for each assigned account. The Senior Underwriter provides technical advice/ support to less experienced underwriters within all aspects of the underwriting process. The role provides support to assist in new group sales and retention of commercial business. The Senior Underwriter is responsible for the premium development of future risk which in turn has a direct impact on a group’s loss ratio and financial position of the health insurance division.

Requirements

  • Bachelor’s Degree in Business, Actuarial Science, Finance, Mathematics, Healthcare Administration or related field or equivalent combination of education and experience.
  • 5 or more years of experience in health insurance underwriting.
  • Strong knowledge and understanding of group rating methodologies, funding arrangements (fully insured, level-funded, self-funded), and risk adjustment.
  • Proficiency in Microsoft Office Suite and underwriting/pricing tools.
  • Experience with health plan systems and CRM platforms.
  • Exceptional analytical and decision-making skills.
  • Strong communication and presentation abilities.
  • Strong knowledge of current Federal and State health insurance regulations.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Nice To Haves

  • Experience with WPS systems and processes, including: OnBase, Facets, WebMUGs.

Responsibilities

  • Prepared and produced New Business Proposals that meet corporate turnaround times, RFP timelines, profitability, quality and customer satisfaction.
  • Produce existing group renewals, alternative benefit designs, benefit changes, and high-cost claimant projections for fully insured and self-funded groups that meet corporate turnaround times, profitability, quality, and customer satisfaction.
  • Collaborate with management and advise on the appropriate renewal pricing for all existing non-ACA Association blocks of business.
  • Negotiate group health insurance rates and benefits with sales and external brokers.
  • Attend New Business & Change Group Intake meetings internally and externally with the clients to ensure accurate benefit and claim payment setup.
  • Assist Sales Managers & Account Representatives with questions, concerns, and details in regard to new/existing accounts.
  • Develop and maintain strong relationships with brokers, consultants, and internal stakeholders to support account retention and acquisition.
  • Maintain existing databases, spreadsheets, underwriting guidelines and manuals with vital underwriting information for internal and external use.
  • Identify deficiencies and possible enhancements in department administrative policies and procedures that affect customer satisfaction and corporate profitability.
  • Stay current on industry trends, regulatory changes (ACA, ERISA, HIPAA), and competitor activity that impact underwriting practices.
  • Ensure compliance with internal controls and external regulatory standards.

Benefits

  • Prorated Holiday Pay and On-Demand PTO
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