Group Underwriter II

Hawaii Medical Service Association; Honolulu (HI); Hybrid; USD 59.000 - 116.000; Vollzeit

Zusammenfassung

Hawaii Medical Service Association seeks an experienced underwriter to prepare and analyze rate proposals and financial reports to support the Account Management and Sales Department in rate renewals and new account processes.

You will perform reinsurance functions including recovery, IBNR reporting, large claims tracking, reinsurance audits, and renewals, with a hybrid work setting limited to Hawaii residents.

Qualifikationen

• Bachelor's degree and 2 years of related underwriting experience.
• Ability to analyze data using math concepts and historical utilization.
• Knowledge of medical insurance plans and rating methods.

Aufgaben

• Prepare, analyze, and audit rate proposals and financial reports for rate renewals and new accounts.
• Perform reinsurance functions including recovery, IBNR reporting, large claims tracking, and audits.
• Produce and audit monthly reports and reconciliations (5500, utilization, financials).
• Support account planning and client meetings with underwriting information and rationale.
• Identify data issues and assist in special projects and training as needed.

Kenntnisse

Math basics

Reading comprehension

Underwriting knowledge

MS Office

Ausbildung

Bachelor's degree or equivalent in related field

Tools

Excel

Word

Outlook

Jobbeschreibung

**Hybrid Work Environment - Must reside in Hawaii **

Pay Range: $59,000 - $116,000, position is eligible for an incentive bonus
Note: Individuals typically begin between the minimum to middle of the pay range

Prepare and analyze rate proposals and financial reports to support the Account Management and Sales Department in the account rate renewal process or new account process and execution of the account's contract. Will perform Reinsurance functions such as recovery and IBNR reporting, large claims tracking, reinsurance audits, and reinsurance renewals.

Minimum Qualifications

• Bachelor's degree and two years of related experience in group underwriting; or equivalent combination of education and work experience.
• Demonstrated ability to work quickly and accurately with basic math formulas and concepts including fractions, percentages, ratios, and proportions. Apply mathematical logic in practical situations.
• Demonstrated ability to read and interpret documents such as group agreements, financial reports and procedure manuals.
• Knowledge/experience of medical insurance plans and rating methods.
• Familiarity with all group underwriting concepts, practices, and procedures.
• Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, and Outlook.

Duties and Responsibilities

• 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.
• 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.
• 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.
• 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
• Perform all other miscellaneous duties and responsibilities as directed or assigned.

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