Underwriter II

Kaiser Permanente • Honolulu, HI

103d

About The Position

Evaluates standard and nonstandard data to understand premium, claim, exposure, and population. Works with team to identify actionable data insights/irregularities and research solutions. With general direction, uses and documents models, tools, and assumptions that support business strategy analysis and risk management. Supports the implementation of quality and process improvement efforts. Works in support of department initiatives, program, and enterprise goals. With limited guidance, assesses risk of accounts. Leverages comprehensive knowledge of the external business environment. With limited guidance, presents renewal recommendations to clients/organization. With guidance as needed, collaborates internally to develop case/investment strategies. Follows protocols to develop rates and account plans that mitigate risk. Contributes to rate negotiations with external parties. Begins to interact with customers to ensure external understanding of underwriting approach. Helps address data needs and requests. Builds relationships with customers and channel partners. With some guidance, works with internal partners to bring financial solutions to customers. Provides and leverages self/peer review of own work. Maintains compliance with relevant policies, guidelines, and procedures.

Requirements

• Bachelors degree in a related field OR Minimum three (3) years of experience in Underwriting, Marketplace Evaluations, Financial Analysis, or a directly related field.

Nice To Haves

• Applied Data Analysis
• Data Quality
• Interpersonal Skills
• Organizational Skills
• Business Acumen
• Microsoft Office

Responsibilities

• Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members.
• Listens to, addresses, and seeks performance feedback.
• Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage/improve them.
• Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work.
• Assesses and responds to the needs of others to support a business outcome.
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship.
• Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information.
• Supports the completion of priorities, deadlines, and expectations.
• Identifies and speaks up for ways to address improvement opportunities.
• Analyzes and reports on data by evaluating standard and nonstandard data to understand premium, claim, exposure, and inform understanding of population risk, with limited guidance.
• Develops a working understanding of how to evaluate credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account.
• Works with team to identify actionable insights and potential data irregularities and research solutions.
• Uses models (e.g., rate models and benefit pricing tools) and data analytics tools that support the analysis of business strategy and financial/underwriting risk management.
• Documents models, tools, assumptions, and data elements for increasingly complex accounts, as required.
• Completes case and underwriting work by processing account activities (e.g., running reports, re-quotes, investments, sold rates) for customers and/or book of business under moderate direction.
• Collaborates with internal departments, following established methodologies and protocols to develop rates that appropriately mitigate risk for the organization and optimize sustainable membership growth.
• Contributes to the execution of an account plan that addresses threats and opportunities to ensure attainment of goals in collaboration with Sales and Account Management.
• Exercises judgment when contributing to rate negotiations with external parties (e.g., brokers, consultants, and customers).
• Represents Underwriting in partnership with internal and external partners to co-create effective consultative solutions (e.g., case strategy, investment strategy, benefits strategy).
• Conducts account risk assessment using competitive analyses, broker behavior, network cost profiles, legislative and regulatory impacts, revenue requirements, and contributions, with limited guidance.
• Utilizes data and standardized tools to present underwriting and renewal actions and recommendations (e.g., rate drivers, potential risk, glide path, membership impact, projections for future) to clients and/or the organization, with limited guidance.
• Develops and applies a comprehensive knowledge of the external business environment and how it applies to the line of business and/or region.
• Collaborates with Sales and Account Management to develop case/investment strategies and recommendations with appropriate documentation with guidance, as needed.
• Begins to independently interact with external market to help the market/customers understand the underwriting approach (e.g., rating methodology, rate drivers, reporting capabilities, and uniqueness from fee for service carriers).
• Helps address data needs and requests reactively and proactively, as they arise.
• Builds relationships with customers and channel partners that enable them to understand KPs value.
• Collaborates with account management and sales partners to bring strategic, financial solutions to customers, communicate product capabilities, explain funding arrangements, and negotiate conditions of offering and pricing within the limits of their authority.
• Supports the implementation of innovative new quality and process improvement efforts with general instructions.
• Executes their work in support of department initiatives, program goals, and enterprise goals.
• Incorporates feedback from peer reviews of own work to ensure accuracy and appropriateness of quotes, providing self/peer review as required.
• Appropriately obtains and documents case approvals and any policy exceptions and investments.
• Makes investment decisions within their authority and escalates to the appropriate level, as needed.
• Maintains awareness of and compliance with all relevant policies, guidelines, and procedures, applying them to their own work.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree