Medical Underwriter

SPECTRAFORCE; North Carolina; Remote; USD 47,416; Full time

Job summary

A healthcare staffing company is seeking a Medical Underwriter to manage a complex book of business and analyze underwriting risks. This is a remote position open to candidates from approved states. Candidates should have a college degree in mathematics and at least 3 years of experience in a related field. The role offers a pay rate of $34.42/hr.

Qualifications

• Bachelor's degree or advanced degree (where required).
• 3+ years of experience in related field.
• In lieu of degree, 5+ years of experience in related field.

Responsibilities

• Manage a Book of Business with up to 100,000 members and representing up to $350,000,000 in premium or premium equivalent.
• Provide consultative service to both internal and external customers.
• Analyze underwriting risk and determine premium rates for fully insured groups.

Skills

Good math skills with Excel

Reviewing health claims

Education

College degree in the mathematics field

Job description

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Duration: 12 months (Contract, with possibility of extension or perm.)

Location: The role is 100% remote, but candidates need to be from an approved conversion State (Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming.).

Pay Rate: $34.42/hr

Job Description:

• Manage a Book of Business with up to 100,000 members and representing up to $350,000,000 in premium or premium equivalent.
• Meet or exceed Business Segment revenue, margin, membership, and persistency goals.
• Provide consultative service to both internal and external customers.
• Have the authority to make decisions within the bounds stipulated by Underwriting Management and departmental policies.
• Produce regular and ad hoc reports for Underwriting Management.
• Analyze underwriting risk and determine premium rates for fully insured groups and funding rates for ASO groups.
• Utilize technical expertise to make recommendations regarding benefit and funding plan design options. Assist with underwriting process and system changes.
• Participate in final rate and benefit discussions with Sales and external group customers.
• May assist with the development and provision of training to the underwriting staff, sales staff, and other departments in the principles and practices of underwriting and rating.

Hiring Requirements:

• Bachelor's degree or advanced degree (where required).
• 3+ years of experience in related field.
• In lieu of degree, 5+ years of experience in related field.

Top 3-4 Required Skills:

• Good math skills with Excel.
• Reviewing health claims.

Nice to have Skills:

• Critical thinking.
• Decision making.

Education/Certifications Required:

• College degree in the mathematics field.

Industry Specific Experience – required, ideal, necessary:

• Claims analysis (ensure underwriter experience that looks at the claim vs the financials).
• Medical insurance underwriter.

Seniority level:

• Associate

Employment type:

• Full-time

Job function:

• Health Care Provider

Industries:

• Hospitals and Health Care

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