Senior Underwriter

2 weeks ago

Doral, Florida, United States Sentara Full time
Job Title: Senior Underwriter

AvMed, a division of Sentara Health Plans, is seeking a highly skilled Senior Underwriter to join our team in Miami and/or Gainesville, Florida. This is a hybrid position, with 2 days in office and 3 days remote, or 100% remote for candidates outside of the local market.

Job Summary:

The Senior Underwriter will be responsible for reviewing and analyzing risks posed by employer groups requesting group health coverage and developing employer group-specific premium rates for all large group and self-funded products. The successful candidate will also assist with the development and implementation of procedures for monitoring the overall effectiveness of the underwriting function.

Key Responsibilities:
  • Analyze employer group experience reports from internal and external sources to develop group-specific premium rate studies and reports.
  • Evaluate medical risk for employer groups and determine premium rates for prospective clients.
  • Determine rates and fees for self-funded employer groups, procure stop loss quotations from outside insurance carriers, and produce and present final proposals based on client-specific requirements.
  • Collaborate with sales teams to participate in meetings and/or conference calls with employer groups, outside brokers, and consultants.
  • Attend and participate in Pricing Strategy Council meetings for review of Strategic Account prospects and renewals.
  • Collaborate with other departments to implement new rates, rating methodologies, and applications.
  • Perform implementation testing for changes to rating and workflow programs needed to underwrite prospects and renewing clients.
  • Recommend changes to programs when necessary.
  • Assist in the development and maintenance of documentation on quote processes and underwriting guidelines.
  • Document risk evaluation findings and maintain acceptable records for review and audit by regulatory authorities.
  • Produce and maintain reports and reporting systems to monitor and assist in renewal and new business processes.
  • Present report findings and recommendations to leadership for review and approval.
Requirements:
  • Bachelor's degree required.
  • 6-10 years of experience in underwriting in HMO or health insurance or related field with medical risk evaluation and financial analysis experience.
  • An equivalent combination of education and experience may be considered.
Preferred Requirements:
  • Health Insurance Portability and Accountability Act (HIPAA) proficiency.
  • Project management skills.
  • Problem-solving skills.
  • SQL, VBA, and/or SAS proficiency.
  • Microsoft Office (Word, Excel, Access, Outlook) proficiency.
Benefits:

As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including medical, dental, and vision insurance, paid annual leave, sick leave, flexible spending accounts, retirement funds with matching contribution, and supplemental insurance policies.

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.

This position is 100% remote, but candidates must have a current residence in one of the following states or be willing to relocate: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, or Wyoming.

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