Group Underwriter III

Hawaii Medical Service Association; Honolulu (HI); Hybrid; USD 68,000 - 133,000; Full time

Job summary

Hawaii Medical Service Association (HMSA) seeks a Group Underwriter III to prepare and analyze employer group rates, renewals, and financial exhibits. The role supports Account Management and Sales in rate renewal processes and is based in Hawaii with a hybrid work arrangement.

Responsibilities include data analysis, rate proposals for prospective accounts, and collaboration with underwriting and sales teams. Strong knowledge of medical insurance plans and underwriting practices is essential.

Qualifications

• Bachelor's degree and 3+ years related experience in group underwriting or equivalent.
• Ability to work quickly and accurately with basic math formulas and concepts.
• Ability to read and interpret group agreements, financial reports, and procedures.

Responsibilities

• Accurately calculate and analyze employer group rates using historical data.
• Prepare and audit rate renewals, filing worksheets, and exhibits per guidelines.
• Answer underwriting questions from accounts and Marketing on rate renewals and financial arrangements.
• Prepare, analyze, and reconcile monthly billings for self-insured accounts.
• Analyze rate proposals for prospective accounts and support client meetings with underwriting information.
• Maintain and update rating and reporting systems; resolve data issues.
• Provide training and coaching to underwriting colleagues and participate in special projects.
• Perform other duties as assigned.

Skills

Math & analytics

Reading & interpretation

Medical insurance knowledge

Underwriting concepts

MS Office basics

Education

Bachelor's degree & 3+ years underwriting

Tools

Microsoft Office

Job description

Hybrid Work Environment - Must reside in Hawaii

Pay Range: $68,000 - $133,000, 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 Account Management and Sales Department in the account rate renewal process or new account process and execution of the account's contract. Ensures HMSA's financial well-being and maintains confidentiality and discretion in dealing with sensitive and/or at-risk accounts. Will perform multiple Reinsurance functions such as recovery and IBNR reporting, large claims tracking, reinsurance audits, and reinsurance. As a Group Underwriter III position will be responsible for serving as a resource to all peer Group Underwriters.

Minimum Qualifications

• Bachelor's degree and three 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.
• Proficient 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 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.
• 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.
• 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.
• 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.
• Perform all other miscellaneous duties and responsibilities as directed or assigned.

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