Underwriter I - Lead

Cambia Health Solutions • Portland, OR

2d • Hybrid

About The Position

Every day, Cambia’s dedicated team of Underwriters is living our mission to make health care easier and lives better. As a member of the Underwriting team, our Underwriters evaluates each assigned group’s risk and attaches the appropriate rate– all in service of creating an economically sustainable health care system. Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

Requirements

• Bachelor’s degree in business, math, statistics or related discipline or an equivalent combination of education and experience.
• Demonstrated analytical and problem solving skills.
• Business sense including: finance, accounting, economics, and risk management principles.
• Effective verbal and written communications.
• Ability to build and maintain positive internal and external customer interactions.
• Ability to prioritize tasks and meet deadlines.
• Demonstrated technology proficiency, including Excel, Word, and applicable software applications.
• Minimum of 2 years related experience (for Underwriter II).
• Minimum of 4 years related experience (for Underwriter III).
• Demonstrated success with managing competing priorities and workload (for Underwriter II).
• Demonstrated proficiency working with complex computer software systems and automation (for Underwriter III).
• Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity and/or understanding (for Underwriter III).

Nice To Haves

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

• Approves renewal changes after verifying rates and product selection.
• Audits both new and renewing groups as necessary.
• Determines rates for alternative benefit variations.
• Ensures that group participation requirements are met.
• Prepare rate filings.
• Follows underwriting guidelines, policies, procedures and formulas in developing rates for new and renewal groups.
• Gathers the appropriate data used to determine the status of account refunds.
• Maintains spreadsheet information on group renewal history.
• Prepares memos and other correspondence to communicate changes in rates or benefits which have been approved by underwriting management.
• Processes the appropriate paperwork associated with renewal rate action and proposal closing.
• Supports internal sales staff regarding underwriting questions and/or resolves issues.
• Effectively communicates Underwriting decisions to other departments when necessary.
• May determine rates for alternative benefit variations and funding arrangements.
• Assist in the training process and mentoring of more junior level Underwriters.
• Prepares contingent premium settlements.
• Prepares the rate quotations and completes bid specifications.
• Processes group financial settlement calculations.
• Reviews and determines whether or not to grant exception requests.
• Supports management reporting efforts and the development of automated rating and analysis tools.
• May determine rates for alternative benefit variations and more complex funding arrangements.
• Actively involved in the preparation and maintenance of underwriting guidelines and rating policy.
• Actively involved with testing new rating, underwriting and front end systems.
• Answers questions regarding the basic factors used in developing rates, (group size, type of benefits, age/gender composition, large claims, experience provided from the prior carrier, current rates).
• Answers questions regarding the rate model and how it impacts rates in accordance with particular group demographic changes.
• Assesses health risk in a group environment (performs large claim analysis for ongoing claim cost).
• Develops prospective and renewal rates for group accounts in accordance with corporate and underwriting guidelines.
• Reviews and determines whether or not to grant exceptions to underwriting policy.
• Ensures the proper administration of underwriting and legislative guidelines for new and renewing groups.
• Handles large volume production with account specific issues (I.e. reinstatements, eligibility standards, group identification criteria, etc)
• Maintains a working knowledge of State and Federal regulations affecting group rating.
• Prepares rate breakouts and hierarchy definitions for group setups.
• Reviews and directs the preparation of experience reports for fiscal, ERISA and contingent premium settlements.
• May meet with external customers, brokers or account representatives to review underwriting calculations and provide explanations for rating principles.
• May prepare written summaries of recommendations and/or conditions of coverage for the group after completion of each analysis.
• May prepare an explanation of the past rating history, documenting benefit and enrollment changes, and providing a recommendation for benefit and financial options.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level