Group Underwriter II

HMSA; Honolulu (HI); Hybrid; USD 90,000 - 125,000; Full time

Job summary

HMSA is seeking an underwriting professional to accurately calculate and analyze employer group rates using historical utilization. You will extract data, audit renewals, and prepare worksheets and exhibits in line with state guidelines.

You will also answer questions from accounts and marketing, explain rating practices, and collaborate with underwriting and sales to ensure appropriate pricing. The role involves data analysis, reporting, and supporting the account planning process in a hybrid

Qualifications

• Underwriting knowledge of rates, filings, and templates.
• Ability to analyze utilization, accounts, and financial statements.

Responsibilities

• Accurately calculate and analyze employer group rates using historical utilization.
• Extract and analyze historical data to ensure accuracy and justify adjustments.
• Produce and audit rate renewals, worksheets, and exhibits per guidelines.
• Answer underwriting questions from accounts/Marketing on renewal calculations.
• Provide consultation to Account Management and Sales on rating practices.
• Collaborate with Underwriting and Account Management to ensure appropriate rates and options.

Job description

1. Accurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure that the total risk is not excessive and identify any anomalies that may be present that would justify an adjustment. Produce and audit rate renewals, rate filing worksheets, and exhibits for moderately complex accounts using pre-established and State Insurance Commissioner approved guidelines and templates as a basis for analysis, performing necessary additional research on issues that fall outside these guidelines. May modify guidelines and templates as needed. Answer moderately complex underwriting questions from accounts and Marketing Department on rate renewal calculations and various financial arrangements. Provide consultation to Account Management and Sales and explain rationale and rating practices for moderately complex accounts to assist in rate renewal process. Collaborating with the Underwriting team and account management team to ensure rates and financial options are appropriate.
2. Accurately prepare, analyze, and audit other reports as required by account (5500, utilization reports, financial reports, financial accountings, financial statements, etc.). Prepare, analyze, and reconcile monthly billings for self-insured accounts based on the terms of the contract with the account. Answer moderately complex underwriting questions from Account Management and Sales Department on statistical and financial reports.
3. Produce and audit other data as needed to support the Account Planning process. Analyze and prepare rate proposals for prospective accounts based on information provided and recommend best course of action. May accompany Account Management and Sales staff to client meetings to answer questions and provide additional underwriting information when needed.
4. Identify, research, and resolve data problems when they arise. Identify, research, track, and report paid/unpaid case amounts as needed. Prepare and audit monthly recovery reports with supporting documentation and respond timely to open queries. Aggregating and organizing data submissions and narratives for reinsurance audits and reinsurance renewal submissions. Provide guidance and training to the Group Underwriter I as needed. Participate in special projects
5. Perform all other miscellaneous duties and responsibilities as directed or assigned.

#LI-Hybrid