Group Underwriter III

HMSA; Honolulu (HI); Hybrid; USD 90,000 - 120,000; Full time

Job summary

HMSA in Honolulu, HI is seeking an experienced underwriter/analyst to accurately calculate and analyze employer group rates, using historical utilization to ensure accuracy, and to identify anomalies that warrant adjustments.

You will produce and audit rate renewals, rate filing worksheets, and exhibits for moderately to very complex accounts, answer complex underwriting questions, provide consultation to Account Management and Sales, and support the Account Planning process with data, reports,

Qualifications

• Work involves complex underwriting analysis and rate renewal calculations.
• Prepare and audit financial reports and rate filings using guidelines and templates.
• Provide consultation on statistical and financial reports to Account Management and Sales.

Responsibilities

• Accurately calculate and analyze employer group rates using historical utilization to ensure accuracy and identify anomalies that justify an adjustment.
• Produce and audit rate renewals, rate filing worksheets, and exhibits for moderately complex to very complex accounts using pre-established guidelines and templates; perform additional research on issues outside guidelines.
• Answer complex underwriting questions from accounts and Marketing Department on rate renewal calculations and various financial arrangements; provide consultation to Account Management and Sales to assist in rate renewal process.
• Prepare, analyze, and reconcile monthly billings for self-insured accounts; answer moderately complex to complex underwriting questions from Account Management and Sales on statistical and financial reports.
• Produce and audit data to support the Account Planning process; analyze and prepare rate proposals for prospective accounts; may accompany Account Management and Sales staff to client meetings.
• Update and maintain rating and reporting system; research and resolve data problems; identify, research, track, and report paid/unpaid case amounts; prepare monthly recovery reports and support reinsurance audits and renewal submissions.
• Deliver training and coaching to underwriting colleagues; participate in special projects; perform other duties as directed.

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 to very complex accounts using pre-established guidelines and templates as a basis for analysis, performing necessary additional research on issues that fall outside these guidelines. Will modify guidelines and templates as needed. Answer 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 highly 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 to 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. Update and maintain rating and reporting system. 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. Deliver training and coaching to other underwriting colleagues. Leading input on efforts to support best practices for the department and HMSA. Participate in special projects.


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

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