Underwriting Specialist

Medical Mutual; Cleveland (OH); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

401(k) with company match

Health Savings Account

Employee Assistance Program

Tuition reimbursement up to $5,250 per year

Diverse and inclusive culture

Job summary

Medical Mutual in Cleveland, Ohio is looking for an Underwriting Administration Specialist to support health insurance sales and underwriting teams. The role involves processing new submissions, managing workflows, and ensuring compliance with regulations.

Qualifications include an Associate Degree and relevant experience in health plan operations. The position offers extensive benefits, including a 401(k) plan and tuition reimbursement. A diverse and inclusive workplace culture is also emphasized.

Qualifications

• 3 years health plan sales or operations experience or equivalent customer service or office support experience in health care or financial services.
• 5 years of experience as an Underwriting Administration Specialist or equivalent health plan sales or operations experience.

Responsibilities

• Reviews and processes new group and benefit changes to reflect proper rates and terms.
• Handles workflow distribution involving multiple departments and mailboxes.

Skills

Knowledge of health insurance products and underwriting operations

Intermediate Microsoft Office (Word, Excel)

Good customer service skills

Good math skills

Education

Associate Degree in Business or Healthcare Administration

Job description

Job Summary

Under general supervision, supports health insurance sales and underwriting teams with administration of new and existing accounts in one or more of the following assigned market segments: large or small group, individual, government programs.

Underwriting Administration Specialist Responsibilities

• Based on market segment assignment:
• Reviews and processes new group and benefit changes in accordance with departmental policies and procedures, ensuring accurate coding of account worksheets and other documents to reflect proper rates and terms and compliance with underwriting regulatory requirements/laws.
• and/or Reviews and processes new submissions for all channels within the Small Group Market Segments, ACA Individual, Medicare Supplement and Short‑Term Individual policies for completeness and compliance with underwriting regulatory requirements/laws, if applicable.
• Responds to underwriting and administrative email and telephone inquiries.
• Handles workflow distribution involving multiple departments and mailboxes per established procedures.
• Establishes and maintains work logs and records needed for management reporting.
• Performs other duties as assigned.

Senior Underwriting Administration Specialist Responsibilities

• Based on market segment assignment:
• Reviews and processes new group and benefit changes in accordance with departmental policies and procedures, ensuring accurate coding of account worksheets and other documents to reflect proper rates and terms and compliance with underwriting regulatory requirements/laws.
• and/or Reviews and processes new submissions for all channels within the Small Group Market Segments, ACA Individual, Medicare Supplement and Short‑Term Individual policies for completeness and compliance with underwriting regulatory requirements/laws, if applicable.
• Manages workflow distribution including multiple departments, mailboxes, and systems, ensuring turnaround goals are achieved.
• Identifies and assists with problem resolution within scope of authority, interpreting if escalation to management is needed.
• Trains more junior level administrative staff and conducts peer reviews/audits on processes, leads status meetings and coordinates daily queue assignments, prepares and summarizes work logs and records for management review.
• Participates in testing of the quoting and renewal systems to ensure rates properly calculate, accuracy of exhibits, and quality assurance prior to release for external customers.
• Documents workflows and processes, updates underwriting procedures for new state and federal laws/regulations, identifies continuous improvement opportunities.
• Performs other duties as assigned.

Underwriting Administration Specialist Qualifications

Education and Experience:

• Associate Degree in Business or Healthcare Administration or related field or equivalent combination of experience, training, and education.
• 3 years health plan sales or operations experience or equivalent customer service or office support experience in health care or financial services.

Technical Skills and Knowledge:

• Knowledge of standard office procedures and equipment operation (multi-function copier, multi-line phone, etc.).
• Intermediate Microsoft Office (Word, Excel) and general database management/reporting skills.
• Knowledge of health insurance products and underwriting operations.
• Basic knowledge of general health plan regulations.
• Good math skills.
• Good customer service skills.

Senior Underwriting Administration Specialist Qualifications

Education and Experience:

• Associate Degree in Business or Healthcare Administration or related field or equivalent combination of experience, training, and education.
• 5 years of experience as an Underwriting Administration Specialist or equivalent health plan sales or operations experience.

Technical Skills and Knowledge:

• Knowledge of standard office procedures and equipment operation (multi-function copier, multi-line phone, etc.).
• Intermediate Microsoft Office (Word, Excel) and general database management/reporting skills and basic knowledge of health insurance underwriting systems.
• Knowledge of health insurance products and underwriting operations.
• Knowledge of standard health insurance underwriting formulas and related Company policies and procedures.
• Strong math skills.
• Strong customer service and training skills.

Benefits

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Employee Assistance Program including professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with option to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.
• Career development programs and classes.
• Mentoring and coaching to help advance career.
• Tuition reimbursement up to $5,250 per year.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

Company Culture and Workplace

Equipped with laptop, monitors, keyboard, mouse and headset. Remote or office work with access to on-site fitness centers or gym membership reimbursement. On-site cafeteria serving hot breakfast and lunch at the Brooklyn, OH headquarters. Business casual attire, including jeans.

Legal and Equal Opportunity Statement

Medical Mutual is an equal opportunity employer. Protected veterans and individuals with disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. Know Your Rights notice from the Department of Labor.

Drug‑Free Workplace

We maintain a drug‑free workplace and perform pre‑employment substance abuse and nicotine testing.