Senior Underwriter at MetroHealth HMO Limited

About the job

• The Underwriting specialist will analyze medical products, concepts and rating techniques.
• The ultimate goal is preparation for accurately quantifying risk and return of prospective and existing business through analysis of trend, claims experience and premium collection, among other factors.
• He /She will work in a fast-paced and deadline-driven environment, collaborating with team members to strengthen bottom line financial results by analyzing and reporting medical insurance policy premiums appropriately.
• He/She must be a self-starter who has demonstrated analytical skills, a mathematical mind, good communication skills, and strong common sense.. Working with our field staff and customers, you’ll negotiate rates that are profitable and that meet our customer’s financial needs.

Job Functions

• Provides underwriting support for new business and/or renewals, accountings and/or specialized functions.
• Produces timely and accurate quotes, proposals, medium to large case renewals.
• Analyzes input/outputs for reasonability (e.g., manual rates, benefit revisions, recorded claims, premiums, reserves, account structure, etc.).
• Performs risk assessment functions as directed (e.g., claim determination and membership analysis) to set appropriate premium.
• Utilizes rating/financial tools, reference materials, prior carriers data and source systems for premium, membership and claim information.
• Applies underwriting guidelines in qualifying risk of adding new members.
• Requests additional information as necessary and explains needs.
• Maintains integrity of source data and/or accounting data systems.
• Identifies and collects information critical to decision making.
• To assist and train junior underwriter.

Requirements

• Strong math aptitude is essential.
• Analytical, critical thinking, and decision-making skills are essential.
• Excellent communication skills, including the ability to articulate complex information in simplified terms.
• Must enjoy working in a fast-paced, team environment and be adaptable to changing priorities.
• Candidate must posses at least 3 years experience as an underwriter in the HMO space.
• The highest level of education desired for candidates in this position is a Bachelor’s degree or Master’s Degree in Statistics, Insurance, and/ or Mathematics.
• Microsoft Desktop Tools.