Company Statement
For the last 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, health care is more complex than ever. That’s why we’re at the forefront of change. We work alongside our customers to offer access to high-quality, affordable care, help navigate the health care experience, and make good health achievable; because everyone deserves to be taken care of. We deliver on our mission every day by living our values with our colleagues, members, clients and partners. It begins with caring and respecting all those we work with. We believe a culture of diversity and inclusion is vital to serve our unique and diverse customers. We seek for continues improvement and innovation and believe being agile and nimble is our advantage. We bring a strong sense of partnership to every relationship – internally and externally. The EmblemHealth family of companies offers competitive health, welfare, and retirement benefits as well as incentive pay plans and more.
Sr. Underwriter (Remote) - Healthcare
Summary:
- Underwrite existing medical and dental accounts, including Broker, Commercial and Labor and Government accounts, within published time frames.
- Underwrite new business portfolio including a mix of Large Group Experience Labor and Government, Commercial, Self-insured, and Large Group Community Rated accounts.
- Advise the Underwriters in the Underwriting Leader’s absence.
- Support the department in the development of good working relationships between Underwriting and Account Management.
- Assume responsibility for entry level training program and supporting new hire underwritings.
- Support Organizational/Underwriting Initiatives, including improvements to tools used by Underwriting.
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.
- Collect data and produce enrollment, claims, utilization reports from COGNOS, Tableau, Facets, and other databases/reporting tools.
- Prepare summaries for Account Executives for renewals, based on financial history of the groups, demographics and projections moving forward.
- Communicate and explain Underwriting recommendations/decisions to the Sales Account Executives.
- Provide support explaining analysis to brokers and/or customers as needed.
- Lead Organizational/Underwriting initiatives.
- Serve as technical resource and mentor for lower-level Underwriters.
- Review and analyze Request for Proposals (RFPs) and prospective rate quotes from Brokers, Consultants, and Marketing Representatives.
- Prepare financial exhibits and answers Underwriting questions for Sales Representatives.
Requirements:
- Bachelor’s degree (preferably in Mathematics, Economics, Statistics, Finance or Business Administration) required
- 4 – 6+ years of Group Health Insurance Underwriting experience required
- Knowledge of underwriting methodologies, especially Experience Rating Methodology required
- Proficient in MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required
- Attention to detail; strong technical underwriting, math, and analytical skills required
- Ability to make sound logical independent decisions required
- Ability to successfully manage multiple tasks/projects with simultaneous competing priorities and deadlines required
- Results-oriented with the ability to function in a fast-paced dynamic environment required
- Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audiences required
Security Disclosure
If you are offered a job from one of the EmblemHealth family of companies that includes ConnectiCare, AdvantageCare Physicians, and WellSpark, the offer confirmation email will come from “HRTalentAcquisition” with the subject line: “Offer of Employment for (job title)” – Please respond online”.
We never ask you to join a Google Hangout, request you to purchase your own equipment or pay to apply. We do not send email from a third-party email service such as Yahoo or Gmail.
Pay Disclosure
A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.
EEOC Statement
We are committed to leveraging the diverse backgrounds, perspectives, and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy or related condition, marital status, national origin, disability, protected veteran status or any other characteristic protected by law.
Sponsorship Statement
Depending on factors such as business unit requirements, the nature of the position, cost and applicable laws and regulations, EmblemHealth may provide work visa sponsorship for certain positions.