Medical Risk Underwriter
2 weeks ago
Vensure Employer Solutions stands as the largest privately held entity in the HR technology and service sector, offering a wide-ranging suite of solutions, including HR/HCM technology, managed services, and global business process outsourcing (BPO).
As a comprehensive employer solution based in Chandler, Arizona, Vensure aids numerous businesses in optimizing and expanding their operations through tailored strategies that benefit both employers and employees.
Position OverviewThe Medical Risk Underwriter plays a crucial role in evaluating medical risk for a PEO-sponsored medical plan. This position operates within defined limits of authority on assignments that require substantial technical complexity and coordination. The underwriter employs underwriting policies and guidelines, rating rules, and carrier regulations to accurately price medical risk.
Key Responsibilities
- Gather and analyze customer-specific data, including existing group medical plans and rates, employee census, carrier history, and prior claim experience to ensure the completeness and accuracy of submissions.
- Calculate rates for intricate group cases through comprehensive analysis of the group's experience, industry, location, size, and demographic characteristics using established underwriting methodologies.
- Develop the judgment necessary to evaluate new business for master medical plans as required, working alongside senior underwriters or management to maintain a profitable book of business.
- Update all underwriting systems as necessary.
- Share underwriting knowledge and provide education to peers and/or members of the sales team.
- Familiarize oneself with plan offerings, internal relationships, underwriting and team guidelines, processes, procedures, and the overall business strategy of the company.
- Demonstrate effective multi-tasking abilities, managing and prioritizing several incoming requests in a dynamic environment.
Knowledge, Skills, and Abilities
- Proficient in using a computer, keyboard, and screens to access necessary information for performing essential duties and responsibilities.
- Capable of reading and interpreting documents such as safety rules, operating and maintenance instructions, and procedure manuals.
- Ability to compose routine reports and correspondence, and communicate effectively with company employees, managers, and both internal and external customers and vendors.
- Competent in basic arithmetic operations and able to compute rates, ratios, and percentages.
- Able to work under direction and collaborate effectively with all areas of the company, including management and peers.
- Excellent time management, resource management, and planning skills.
- Impeccable attention to detail.
- A team player who is conscientious, reliable, discreet, confidential, and honest.
Possesses a proactive professional demeanor with a high standard of quality, a strong work ethic, and assertiveness in a positive manner.
Education & Experience- High School Diploma required; Associate's degree preferred or equivalent experience.
- Preferred 2+ years of experience in insurance carrier underwriting.
- Preferred 2+ years of experience in PEO underwriting.
- Proficient in Microsoft Word, PowerPoint, and Excel.
- Familiarity with an office environment is beneficial.
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