Medical Underwriter

Socket.dev; Overland Park (KS); On-site; USD 65,000 - 85,000; Full time

Job summary

Allied National is seeking an experienced Medical Underwriter to join our Underwriting Department. The Underwriter will apply medical knowledge and underwriting manuals to assess risk for health insurance groups.

This role emphasizes communication with Account Executives and customers to gather information and provide accurate rate recommendations. The position requires strong medical terminology expertise, data interpretation skills, and several years of office experience in the insurance

Qualifications

• High School diploma or equivalent.
• 1–2 years related work experience or equivalent college education.
• Certification in Medical Terminology I and II.
• Ability to comprehend and interpret information from product brochures, certificates and insurance contracts.
• Basic mathematics skills.
• Minimum 4 years of office experience or equivalent college education.
• Knowledge and understanding of medical terminology.
• Very strong knowledge and understanding of medical terminology.
• Minimum 3 years experience in the insurance industry, including 1–2 years experience in group and individual medical underwriting preferred, or equivalent medical background.

Responsibilities

• Underwrite New Business according to parameter guidelines and determine eligibility of a group for health insurance based upon a review of all eligibility information that has been obtained.
• Review Medical Load Report prepared by Underwriting Implementation Level 2, and evaluate appropriate medical risk.
• Review Participation Worksheet and Group Eligibility prepared by level 2.
• Review Current Carrier Bills and Renewal Rates and compare to census presented and Allied generated rates.
• Conduct employer phone call and as needed contact individual applicants for additional health information and or clarification.
• Create Self-Funded Accounts in AI.
• Review monthly manual dental renewals, populate spreadsheet with rating recommendations to be approved by underwriting management.

Skills

Medical terminology

Underwriting

Communication

Mathematics

Team collaboration

Office experience

Education

High School diploma

College education

Medical Terminology Certification I & II

Job description

Description

Allied National is seeking an experienced Medical Underwriter to join our Underwriting Department. The Underwriting Department applies the knowledge of Allied’s products, plan documents, underwriting manuals and computer systems. The Underwriter will work in a team atmosphere utilizing not only their own expertise but also the expertise of their peer group.

As the voice of Allied underwriting, communication with the Account Executives and our customers is a critical component of this position. Utilizing medical expertise in the overall risk evaluation and rate recommendation is essential for this position.

1. Underwrite New Business according to parameter guidelines and determine eligibility of a group for health insurance based upon a review of all eligibility information that has been obtained.
2. Review Medical Load Report prepared by Underwriting Implementation Level 2, and evaluate appropriate medical risk.
3. Review Participation Worksheet and Group Eligibility prepared by level 2.
4. Review Current Carrier Bills and Renewal Rates and compare to census presented and Allied generated rates.
5. Conduct employer phone call and as needed contact individual applicants for additional health information and or clarification.
6. Create Self-Funded Accounts in AI.
7. Review monthly manual dental renewals, populate spreadsheet with rating recommendations to be approved by underwriting management.

Requirements

1. High School graduate or equivalent.
2. One to two years related work experience or equivalent college education.
3. Certification in Medical Terminology I and II.
4. Ability to comprehend and interpret information directly from product brochures, certificates and insurance contracts.
5. Basic mathematics skills.
6. Minimum 4 years of office experience or equivalent college education.
7. Knowledge and understanding of medical terminology.
8. Very strong knowledge and understanding of medical terminology.
9. Minimum 3 years experience in the insurance industry, including 1-2 years experience in group and individual medical underwriting preferred, or equivalent medical background.