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Medical Risk Underwriter
2 months ago
Vensure Employer Solutions stands as the largest privately owned entity in the HR technology and service industry, offering a diverse range 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 Health Underwriter plays a crucial role in evaluating medical risk for a PEO-sponsored medical plan. This position operates within defined limits of authority on tasks that require considerable technical complexity and coordination. The underwriter applies underwriting policies and guidelines, rating rules, and carrier regulations to accurately assess medical risk pricing.
Key Responsibilities
- Gather and analyze customer-specific data, including existing group medical plans, rates, employee census, carrier history, and prior claims experience to ensure the accuracy and completeness of submissions.
- Calculate rates for intricate group cases based on a 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 portfolio.
- Update all relevant underwriting systems as needed.
- Share underwriting expertise and provide training to peers and/or members of the sales team.
- Familiarize oneself with plan offerings, internal relationships, underwriting and team guidelines, processes, procedures, and the company's business strategy and structure.
- Possess strong multi-tasking abilities, managing and prioritizing several incoming requests in a dynamic environment.
Qualifications
- Proficient in using a computer, keyboard, and screens to access essential information for performing duties.
- Capable of reading and interpreting documents such as safety regulations, operating instructions, and procedural manuals.
- Skilled in writing routine reports and correspondence, and communicating effectively with company employees, managers, and external customers and vendors.
- Competent in basic arithmetic operations and able to compute rates, ratios, and percentages.
- Work effectively under direction and collaborate well with all departments, including management and peers.
- Excellent time management, resource management, and planning capabilities.
- Exceptional attention to detail.
- A team player who is conscientious, reliable, discreet, confidential, and honest.
Exhibit a proactive professional demeanor with a high standard of quality, a strong work ethic, and assertiveness in a constructive manner.
Education & Experience- High School Diploma required; Associate's degree preferred or equivalent experience.
- Preferred 2+ years of underwriting experience with an insurance carrier.
- Preferred 2+ years of PEO underwriting experience.
- Proficient in Microsoft Word, PowerPoint, and Excel.
- Familiarity with an office environment.
