Senior Underwriter

3 days ago


Los Angeles, California, United States Kaiser Permanente Full time
Job Summary

Evaluate complex data to understand premium, claim, exposure, and population risk. Identify and escalate actionable insights and potential data irregularities, researching solutions. Contribute to the creation and use of models, tools, and assumptions that support business strategy analysis and risk management. Work in support of department initiatives, program, and enterprise goals. With minimal guidance, assess risk of accounts. Leverage foundational knowledge of the external business environment. Present renewal recommendations to clients/organization. Independently collaborate internally to develop case/investment strategies. Develop rates and account plans that mitigate risk. Contribute to rate negotiations with external parties. Help customers understand underwriting approach. Address data needs and requests. Build relationships and influence outcomes with customers and channel partners. Work with internal partners to bring financial solutions to customers. Provide self/peer review of cases. Maintain compliance with relevant policies, guidelines, and procedures.

Key Responsibilities
  1. Pursue effective relationships with others by providing resources, information, advice, and expertise. Listen to, seek, and address performance feedback; provide mentoring to team members. Pursue self-development; create plans and take action to capitalize on strengths and develop weaknesses; influence others through technical explanations and examples. Adapt to and learn from change, challenges, and feedback; demonstrate flexibility in approaches to work; help others adapt to new tasks and processes.
  2. Complete work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensure all procedures and policies are followed; leverage an understanding of data and resources to support projects or initiatives. Collaborate cross-functionally to solve business problems; escalate issues or risks as appropriate; communicate progress and information. Support, identify, and monitor priorities, deadlines, and expectations. Identify, speak up, and implement ways to address improvement opportunities for team.
  3. Analyze and report on data by evaluating standard and nonstandard data to understand premium, claim, exposure, and inform understanding of population risk, with little to no guidance. Apply comprehensive foundational knowledge to evaluate credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account. Independently identify and escalate actionable insights and potential data irregularities and researching solutions. Apply standard concepts and strategies to contribute to the creation and use of 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. Consistently document models, tools, assumptions, and data elements for increasingly complex accounts, as required.
  4. Complete case and underwriting work by processing renewal activities (e.g., running reports, re-quotes, investments, sold rates) for customers and/or book of business under limited supervision. In collaboration with internal departments, independently develop rates that appropriately mitigate risk for the organization and optimize sustainable membership growth. Independently develop and execute an account plan that addresses threats and opportunities to ensure attainment of goals in collaboration with Sales and Account Management. Exercise judgment during rate negotiations with external parties (e.g., brokers, consultants, and customers). Represent Underwriting in partnership with internal and external partners to co-create effective consultative solutions (e.g., case strategy, investment strategy, benefits strategy).
  5. Contribute to case review and preparation by conducting account risk assessment using competitive analyses, broker behavior, network cost profiles, legislative and regulatory impacts, revenue requirements, and contributions, with minimal guidance, especially when working on complex cases. Utilize 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 minimal guidance. Develop, apply, and expand foundational knowledge of the external business environment and how it applies to the line of business and/or region. Independently collaborate with Sales and Account Management to develop case/investment strategies and recommendations with appropriate documentation.
  6. Engage with the external market by independently helping the market/customers understand the underwriting approach (e.g., rating methodology, rate drivers, reporting capabilities, and uniqueness from fee for service carriers). Address data needs and requests reactively and proactively, as they arise. Build relationships and influence outcomes with customers and channel partners that enable them to understand KPs value. Independently collaborate 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.
  7. Contribute to goals, initiatives, and program development efforts by identifying and escalating issues with implementation of innovative new quality and process improvement efforts. Execute their work in support of department initiatives, program goals, and enterprise goals.
  8. Ensure compliance of Underwriting work by providing self/peer review of cases, as required, to ensure accuracy and appropriateness of quotes and incorporating feedback from others. Appropriately obtain and document case approvals and any policy exceptions and investments. Make investment decisions within their authority and escalate to the appropriate level, as needed. Maintain awareness of and compliance with all relevant policies, guidelines, and procedures, applying them to their own work.

Minimum Qualifications:

  • Bachelors degree in a related field AND minimum two (2) years of experience in Underwriting, Marketplace Evaluations, Financial Analysis, or a related field OR Minimum five (5) years of experience in Underwriting, Marketplace Evaluations, Financial Analysis, or a related field.
Additional Requirements:
  • Knowledge, Skills, and Abilities (KSAs): Business Acumen; Negotiation; Applied Data Analysis; Data Quality; Financial Modeling; Interpersonal Skills; Organizational Skills; Presentation Skills; Insurance; Claim Analysis; Actuarial Techniques and Principles; Microsoft Office

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