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Senior Underwriter

2 months ago

Texas City, Texas, United States Sentara Full time
Senior Underwriter Job Description

AvMed, a division of Sentara Health Plans, is seeking a highly skilled Sr. 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 Sr. 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 rates.
  • Evaluate medical risk for employer groups and determine premium rates for prospective clients.
  • Determine rates and fees for self-funded employer groups and procure stop loss quotations from outside insurance carriers.
  • Collaborate with sales teams to participate in meetings and conference calls with employer groups, outside brokers, and consultants.
  • Attend and participate in Pricing Strategy Council meetings to review 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.
  • Develop and maintain 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.

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.
  • 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:

Sentara Health offers a comprehensive benefits package, including medical, dental, and vision insurance, paid annual leave, sick leave, flexible spending accounts, retirement funds with matching contribution, and supplemental insurance policies.

This position is 100% remote, but candidates must have a current residence in one of the following states: 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.