Supervisor Underwriting

Blue Cross and Blue Shield of Kansas; Topeka (KS); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid parental leave

Fertility/Adoption assistance

401(k) with company match

Tuition reimbursement

Wellness programs

Job summary

Blue Cross and Blue Shield of Kansas seeks a Supervisor, Underwriting to oversee eligibility, enrollment, and risk evaluation for group and individual business. You will ensure adherence to underwriting guidelines and lead a team of underwriters.

You will collaborate with Sales, Rating, Actuarial, and Membership, contribute to training, and drive process improvements while maintaining regulatory compliance.

Qualifications

• 5+ years' experience in underwriting, group rating, actuarial, or risk adjustment in health insurance.
• Leadership and training experience preferred.
• Knowledge of HIPAA, ACA and regulatory compliance preferred.

Responsibilities

• Supervise daily operations of the Enrollment Risk area and ensure accurate risk evaluation.
• Ensure compliance with underwriting eligibility and participation guidelines for group and individual business.
• Review and approve risk evaluations with proper documentation and decision-making.

Skills

Underwriting expertise

Regulatory compliance

Communication

Leadership

Education

Bachelor's degree

High school diploma or equivalent

Tools

Microsoft Office

Underwriting systems

Job description

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13644024. Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas. You Belong At Blue.

Why Join Us?

Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.

Family Comes First

Paid vacation and sick leave with paid maternity and paternity available immediately upon hire.

Professional Growth Opportunities

Advance your career with ongoing training and development programs.

Dynamic Work Environment

Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.

Trust and Stability

Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.

Inclusive Work Environment

We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks

• Base compensation is only one component of your competitive Total Rewards package
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• Health & fitness benefits, discounts and resources

Job Summary

The Supervisor, Underwriting, is responsible for overseeing the eligibility, enrollment, and risk evaluation processes for group and individual business. This role ensures compliance with underwriting guidelines, manages daily operations, and provides leadership to a team of Underwriting staff. The Supervisor collaborates with Sales, Rating, Actuarial, Membership, and other internal departments to support business growth while maintaining financial stability. Additionally, this position plays a key role in training, process improvement, and cross-functional communication to enhance underwriting efficiency and accuracy.

"This position is eligible to work remote, hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

What you'll do

• Supervise the daily operations of the Enrollment Risk area, ensuring accurate risk evaluation and underwriting decisions.
• Ensure compliance with underwriting eligibility and participation guidelines for group and individual business.
• Review and approve risk evaluations, ensuring appropriate documentation, follow-up, and decision-making on underwriting assessments.
• Partner with Sales, Rating, Actuarial, and Membership to clarify underwriting decisions and communicate eligibility methodologies to internal and external stakeholders.
• Oversee the testing and development of system enhancements, upgrades, and underwriting process improvements.
• Manage external and internal communications regarding risk evaluation, eligibility, and underwriting decisions.
• Provide training and ongoing education to Underwriting staff, Sales, and other departments to ensure consistency in underwriting policies and regulatory compliance.
• Maintain knowledge of federal and state underwriting regulations, including HIPAA, ACA, and other applicable compliance standards.
• Develop and implement workload management strategies, ensuring deadlines and department goals are met.
• Conduct quality control audits on underwriting decisions and risk assessments to ensure accuracy and consistency.

What you need

Education and Experience

• High schoo diploma or equivalent required; Bachelor\'s degree
• Minimum of 5 years\' experience in underwriting, group rating, actuarial, or risk adjustment, with a focus on eligibility, enrollment, and risk evaluation in the health insurance industry required.
• LPN, Certified Nurses Aid or Certified Medical Aid and/or experience coding medical records using ICD 9 or 10 methodologies preferred.
• Prior leadership, supervisory, and training experience preferred.
• Background in medical underwriting, insurance products, regulatory compliance, and training and onboarding for underwriting teams preferred.

Knowledge/Skills/Abilities

Strong understanding of underwriting principles, eligibility guidelines, and risk assessment methodologies.

Knowledge of medical terminology and ability to interpret health conditions for underwriting decisions.

Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems.

Excellent written and verbal communication skills, with the ability to explain complex underwriting decisions to non-t