Trainer, Underwriting

illumifin Corporation; Minnesota; Remote; USD 70,000 - 100,000; Full time

Job summary

illumifin Corporation seeks a Supervisor, Quality & Training to oversee clinical quality and standards in LTCG’s case underwriting area. You will perform audits, provide feedback, and partner with leadership on performance and training needs.

You will help with case consultations, criteria manual reviews, and updating LTCAS/CLTCAS tools. Remote work is supported; prior senior underwriting experience in long-term care is essential.

Qualifications

• Quality assurance review of underwriters within written guidelines.
• Knowledge of client protocols and processes to evaluate performance.
• Minimum 5 years senior underwriting experience.
• Customer-focused for internal and external clients.
• Detail-oriented with strong organizational skills.

Responsibilities

• Complete regular underwriting decision quality audits for all clients and internal audits.
• Provide written feedback to underwriters and leadership during appraisals.
• Produce quality audit summaries and report to clients as required by contract.
• Identify training needs and develop teaching materials.
• Assist with case consultations and updates to criteria manuals.

Skills

Quality assurance

Underwriting leadership

Training development

Case consultations

Documentation

Education

Senior Underwriter experience

Long term care knowledge

Home health care or acute care exposure

Tools

LTCAS LTC/CLTCAS

PHI & F2F assessment tools

ICD-9/ICD-10 coding

Windows / Word processing

Job description

At the direction of the Supervisor, Quality & Training, assists in the overall clinical quality and clinical standards in LTCG’s case underwriting area. Performs random on-going quality audits for the underwriting staff, identifies and assists with training needs, clinical criteria review and external audits.

• Complete regular underwriting decision quality audits for all clients as well as internal ad hoc audits. Provides written feedback to the underwriter and supervisor as indicated. Provides quality feedback to underwriting leadership at the time of performance appraisals for exempt level underwriting staff. Provides written quality audit summaries, reporting to clients as required by contract language (weekly, monthly or quarterly) and participates in client discussions regarding quality and audits.
• Assist to identify training needs, develop teaching materials, and provide training to clinical staff based on the quality review, changes in clinical practice, on-going education needs, or new staff.
• May assist with case consults for all levels of underwriters either verbally or written
• Using clinical knowledge and underwriting expertise, assists with best practice and criteria manual reviews making recommendations for changes as indicated
• Assists to update and maintain:
  • PHI & F2F assessment tools
  • ICD-9/ ICD-10 coding schemes in LTCAS & CLTCAS
  • Drug lists in LTCAS & CLTCAS
• Assist on ad hoc projects as requested

Requirements

• Knowledge, Skills & Abilities
• Conducts the quality assurance review of individual underwriters within written guidelines
• Has knowledge of all client protocols and processes to evaluate the performance of others
• Prefer a minimum of 24-36 months of Lead Underwriter level experience, or equivalent, based on overall job performance
• Customer focused toward internal and external clients
• Flexible with the ability to work on multiple tasks Detail oriented with excellent organizational skills
• Good interpersonal skills, with excellent written and verbal communication skills
• Ability to analyze processes and implement innovative ideas to improve efficiencies
• Demonstrated leadership abilities and team player
• Demonstrated problem solving and decision making skills
• Comprehensive knowledge of computer skills including word processing and use of Windows

EDUCATION/EXPERIENCE

• Knowledge of long term care needs of individuals
• Knowledge of life insurance and combo products in underwriting capacity
• 5 years Senior Level underwriting experience
• Five or more years’ recent work experience in a related area that includes long term care, home health care or acute care

Location

Remote

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