Associate Underwriter (Remote) - Healthcare

Summary:

• Underwrite EmblemHealth's existing and new business accounts, including Broker Accounts within published time frames.
• Process sold new business groups.
• Maintain logs and complete various reports as needed.

Responsibilities:

• Underwrite new and existing large groups, within the published departmental time frames, and using the departmental and corporate guidelines, strategies and goals.
• Evaluate risk using demographics, claims experience, predictive modeling, high-cost claimant review, and other criteria.
• Utilize various pricing models to develop both manual and experience rates.
• Provide clear documentation and recommendations to management.
• Update tracking tools. Evaluate pricing impact of alternative plan designs.
• Review and analyze Request for Proposals (RFPs) and prospective and renewal rate quotes from Brokers, Consultants, and Marketing Representatives.
• Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets and other databases/reporting tools.
• Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.
• Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.
• Provide support explaining analysis to brokers and/or customers as needed.
• Perform other duties as assigned or required.