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Lead Underwriting Specialist

2 months ago

Milwaukee, Wisconsin, United States Optimyl Benefits Full time
Position Overview

At Optimyl Benefits, we are on a mission to transform the healthcare landscape for small businesses by offering accessible, high-quality, and user-friendly healthcare solutions. Our commitment to innovation allows us to empower employers to provide competitive benefits packages that enhance the well-being of their employees and their families.

Role Summary

We are currently seeking a Senior Underwriter who will be responsible for evaluating, pricing, and analyzing contracts and policies for group employers. This role requires a keen understanding of group demographics, medical questionnaires, claims history, and other unique risk factors.

  • Utilizes Underwriting authority to ensure compliance with Optimyl's policies while maintaining profitability and sustainable growth.
  • Determines when to reject quotes that do not align with the overall risk strategy.
  • Conducts thorough risk assessments for new business enrollments, annual renewals, and policy amendments in accordance with established underwriting standards.
  • Implements market data and policy guidelines to enhance risk management and optimize enrollment.
  • Evaluates financial conditions, participation rates, industry types, and past claims experience to determine suitable benefits and set competitive rates.
  • Generates comprehensive reports and provides analytical support to various departments regarding underwriting outcomes, rate calculations, and financial metrics.
  • Delivers precise expense estimates and detailed financial analysis.
  • Possesses in-depth knowledge of Optimyl's procedures and protocols.
  • Operates with minimal oversight from management while executing essential responsibilities.

Key Responsibilities:

  • Manages a portfolio of renewing accounts and acquires new business at profitable levels to meet Optimyl's business objectives.
  • Employs various systems and tools to gather necessary data and accurately complete assigned tasks.
  • Assesses group eligibility and employee participation during new business quotes and mid-year additions.
  • Calculates rates, analyzes financial arrangements, interprets pricing policies, and adapts to unique scenarios.
  • Identifies unusual claim patterns and evaluates competitors' claims data to formulate strategic recommendations.
  • Applies corporate risk management policies and adjusts for exceptional circumstances not covered by standard pricing formulas.
  • Recognizes non-compliance with corporate risk management policies and enrollment criteria.
  • Enforces Optimyl's business rules regarding participation and product availability.
  • Recommends necessary pricing adaptations based on client-specific situations.
  • Assesses individual member risks and aggregates them to the total group risk.
  • Supports internal initiatives, including underwriting policies, training, fraud detection, and product development.
  • Completes renewals and prospective quotes while reviewing the work of junior analysts in accordance with production standards.
  • Adapts to shifting priorities as new quotes are received from various markets.
  • Communicates policy recommendations clearly, supported by sound rationale.
  • Acts as a subject matter expert for sales and account management teams.
  • Influences sales strategies and pricing structures for quotes, collaborating with market partners as needed.
  • Mentors and provides technical guidance to junior analysts.
  • As assigned, oversees departmental tools and processes.
  • Participates in system development and process improvement initiatives.

Education Requirements:

  • Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, Computer Science, or a related quantitative field.

or

  • 6 years of relevant progressive experience.

Experience Requirements:

· 3 - 5 years in underwriting self-funded plans and converting fully insured prospects into self-funded clients.

Competencies and Skills:

  • Strong interpersonal skills for effective collaboration with internal departments and external stakeholders.
  • Proficient in applicable computer systems and applications.
  • Ability to work independently and manage projects of varying complexity.
  • Commitment to corporate and departmental goals and initiatives.
  • Adherence to ethical business practices and confidentiality regulations.
  • Excellent problem-solving, organizational, and negotiation abilities.
  • Strong mathematical aptitude for conducting analyses.

Compensation: Base Salary Range $85,000—$90,000 USD

Why Choose Optimyl?

At Optimyl Benefits, we are dedicated to providing affordable and high-quality healthcare plans for small businesses. We are passionate about making a positive impact and seek talented individuals who share our vision. Here are some reasons to consider a career with us:

  1. Competitive Compensation and Benefits: We offer a competitive salary along with a comprehensive benefits package, including life insurance, vision, dental, and medical coverage, as well as a 401K plan with employer matching.
  2. Growth Opportunities: We are committed to fostering talent and supporting the professional development of our team members.
  3. Collaborative Environment: Our workplace promotes teamwork and open communication, valuing every team member's contributions.
  4. Flexible Work Arrangements: We recognize the importance of work-life balance and offer flexibility to accommodate our employees' needs.
  5. Generous Leave Policies: Our employees benefit from 11 paid holidays, 15 days of paid vacation, and 8 days of paid sick leave.

At Optimyl Benefits, you will be part of a dedicated team focused on a meaningful mission. We are driven by our commitment to providing accessible and top-quality healthcare solutions.

Optimyl Benefits is an equal opportunity employer, committed to fostering a diverse and inclusive workplace.