Senior Underwriter

Summary

Join Optimyl Benefits as a Senior Underwriter and revolutionize healthcare for small employers. You will price, quote, and analyze healthcare contracts, ensuring profitability and growth. Analyze risk factors, prepare reports, and collaborate with internal and external stakeholders. This mid-level position offers significant autonomy and the opportunity to make a tangible impact. You will use your expertise to evaluate eligibility, calculate rates, and identify questionable claim patterns. Contribute to various internal initiatives and guide lower-level analysts.

Requirements

• Bachelor’s degree in mathematics, Actuarial Science, Finance, Business, Computer Science, or other quantitative analysis discipline
• 6 years of relevant progressive experience
• 3 - 5 years in Underwriting self-funded and converting fully insured prospects into self-funded clients
• Skilled and knowledgeable interaction with various internal departments and external stakeholders
• Ability to use applicable computer systems and applications
• Ability to work independently and assume responsibility for projects across a continuum from routine to highly complex
• Demonstrate an understanding and support of corporate and departmental goals and initiatives
• Demonstrate ethical business practices with adherence to all privacy and confidentiality policies and regulations
• Good problem-solving, organizational, and negotiation skills
• Excellent math aptitude required to complete analysis

Responsibilities

• Responsible for a book of business of renewing accounts and writing new business at profitable levels to help Optimyl achieve overall business targets or assigned volume of new applications or RFPs
• Uses various systems, tools, and resources to obtain necessary data and accurately complete and track assigned work
• Evaluate eligibility of groups and the participating employees at the time of new business quote; evaluate eligibility of mid-year participating employee additions
• Calculate rates, evaluate different financial arrangements (e.g., networks, plan designs, carveouts), interpret pricing policy, and adapt to unusual situations
• Identifies questionable claim patterns of renewal clients and evaluates competitor’s claims experience for prospective clients and develops recommendations to account for these situations
• Applies corporate risk management policies and adjusts for unusual situations that may not have been considered in the standard pricing formula
• Identifies when clients do not comply with corporate risk management policies, disclosure rules, or conditions/criteria for enrollment
• Enforce Optimyl's business rules (participation, product availability, etc.)
• Recommends appropriate adaptation of pricing within the appropriate policy or guideline to accommodate each client-specific situation
• Analyzes individual member risk and aggregate to the total group
• Supports other internal initiatives which may include but is not limited to underwriting policies and procedures, training, fraud detection, corporate compliance, and product development efforts
• Completes renewals, prospective quotes, review of lower level analyst (Underwriting Assistant) work in accordance with production and timeliness standards
• Adapts to changing priorities as quotes come in from different markets and adapt to new priorities and requirements
• Communicates recommendations of policy adaptation to accommodate client-specific situations or changes to overall policy supported by a clear rationale or management principles
• Serve as a SME to sales and account management
• Influences Sales team and external audiences toward appropriate risk solutions
• Influences Sales team toward the appropriate pricing and structure of each quote. When necessary, influences other market partners, e.g. brokers
• Guides, assists, and provides technical assistance to lower-level analysts
• As assigned, assume primary support for maintenance of departmental tools and processes
• As assigned, represent departmental perspectives and needs on system development and process improvement teams

Benefits

• Life insurance
• Short-term disability
• Long-term disability
• Vision
• Dental
• Medical coverage
• 401K plan with employer matching
• Opportunities to Grow
• Collaborative Culture
• Location Flexibility
• 11 paid holidays per year
• 15 days of paid vacation
• 8 days of paid sick leave