Underwriting Manager

3 days ago

Birmingham, Alabama, United States Blue Cross Blue Shield of Alabama Full time
Overview

Department Overview

The Underwriting Department establishes appropriate premium rates and administrative fees for customers based on the benefit levels selected. This is achieved through sound pricing, rating techniques, and trend analysis. Underwriting works closely with Sales to recommend benefit options that maintain financial viability for the customer. Underwriting also ensures timely and accurate group setup and maintenance to aid in processing claims accurately and billing customers appropriately.

Primary Responsibilities

This Underwriting Manager position oversees one of two Group Control teams to ensure group file information is set up timely and accurately in eGEMS (Enhanced Group Enrollment Maintenance System), which is vital to the entire business impacting member eligibility, group and individual billings, adjudication of claims, reporting systems, ID card issuance, and ultimately timely and quality customer service. This position also ensures accuracy of eGEMS data via oversight of the Group Control Quality Assurance function. Additionally, this position also oversees small group quotes, the small group renewal rating process, and frequent analysis of small group data.

The Underwriting Manager also works in partnership with Actuarial Services, Sales, Marketing Communications/Support, Claims/BGA, Billing Services, Enrollment Services, Health Management, Healthcare Networks, IT Application Development, Legal and Prime (Pharmacy Benefit Manager). The Underwriting Manager must remain abreast of the latest changes and guidelines impacting the area including federal and state mandates, new product development, new technologies, etc.

Summary of Qualifications
  • Bachelor's Degree
  • 3 years of experience in Underwriting, Group Control, Financial Accounting, Internal Audit, etc.
  • Excellent computer skills, including experience creating and working with spreadsheets
  • Experience prioritizing work and the organizational skills necessary to manage multiple projects and staff
  • Excellent interpersonal skills
  • Excellent leadership skills
  • Experience utilizing a high degree of problem solving and diagnostic skills to develop creative, practical, and cost-effective solutions
  • Skills involving negotiation, persuasion, dealing with difficult people and situations, assertiveness, teambuilding, and customer service
  • Experience communicating effectively through both oral and written means
  • Knowledge of Blue Cross and Blue Shield of Alabama corporate systems and processes, especially related to eGEMS strongly preferred
  • Experience in business/data analysis and managing large scale projects, including gathering requirements, developing project plans, fit/gap analysis and preparation of functional design documents preferred
  • Experience developing user acceptance testing scripts and leading system implementations preferred
  • Business Analyst/Project Management experience preferred
  • Experience writing complex queries using SQL preferred
  • Experience using Tableau preferred
Work Location

The work location for this position will be hybrid (onsite/remote). Position is located in Birmingham, AL.

Terms and Agreements

By submitting a job application, I attest that all information to the best of my knowledge is true and accurate. Furthermore, I understand that any information provided by me throughout the job application process is subject to verification including, but not limited to work experience, education, assessment (test) and interviews.
We appreciate your interest in Blue Cross and Blue Shield of Alabama 'The Company'. The Company does not discriminate in hiring or employment on the basis of race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, genetics, status as a disabled or protected veteran, or because of citizenship status in the case of a citizen or intending citizen. No question on this application is intended to secure information to be used for such discrimination.
Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association

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