Underwriting Quality and Tools Analyst

Blue Cross and Blue Shield of Kansas; Topeka (KS); Hybrid; USD 96,800 - 115,000; Full time

Benefits offered by this job

Health/Vision/Dental insurance

6 weeks paid parental leave

Fertility/Adoption assistance

5% 401(k) plan matching

Tuition reimbursement

Job summary

A leading insurance provider is seeking an Underwriting Quality and Tools Analyst to ensure the accuracy and efficiency of underwriting processes. This role involves quality assurance, actuarial support, and process optimization, focusing on enhancing data integrity and compliance. Join a dynamic team dedicated to professional growth and a family-first culture, with competitive compensation and benefits.

Qualifications

• Minimum of 3 years of experience in underwriting or actuarial roles in health insurance.
• Proficiency in reporting and database management.
• Experience with SERFF and regulatory compliance reporting.

Responsibilities

• Oversee quality reviews of Group Rating Intake Tool requests.
• Conduct actuarial and underwriting analysis for data-backed recommendations.
• Develop training materials for standardization in underwriting practices.
• Identify efficiencies in underwriting workflows and implement improvements.
• Collaborate with internal audit teams for compliance and quality control.

Skills

Analytical skills

Problem-solving

Quality assurance methodologies

Communication

Organizational skills

Education

Bachelor's degree in Business, Mathematics, Statistics, Finance, or related field

Tools

Database management tools

Quality assurance rating tools

Job description

Join to apply for the Underwriting Quality and Tools Analyst role at Blue Cross and Blue Shield of Kansas

3 days ago Be among the first 25 applicants

Join to apply for the Underwriting Quality and Tools Analyst role at Blue Cross and Blue Shield of Kansas

Blue Cross and Blue Shield of Kansas is looking to add to our growing Underwriting team and has a new opportunity for an Underwriting Quality and Tools Analyst. This position ensures the accuracy, efficiency, financial integrity, and continuous improvement of underwriting processes, rating methodologies, and actuarial evaluations supporting group rating and stop-loss analysis. This role focuses on quality assurance, underwriting governance, actuarial support, process optimization, reporting, tool maintenance, and training to support underwriting operations. The analyst leads quality reviews, manages actuarial and underwriting data integrity, evaluates rating methodologies, refines risk assessment tools, assists in system improvements, and collaborates with internal stakeholders to enhance efficiency and compliance. Reporting to the Manager, Underwriting Quality & Tool, this role plays a key part in driving data integrity, automation, and workflow enhancements.

“This position is eligible to work remotely, 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.”

Why Join Us?

· FamilyComes First : Total rewards package that promotes the idea of family first for all employees.

· Professional Growth Opportunities: Advance your career with ongoing training and development programs.

· Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.

· Trust: Work for one of the most trusted companies in Kansas

· Stability: 80 years of commitment, compassion and community

Compensation

Blue Cross and Blue Shield of Kansas is looking to add to our growing Underwriting team and has a new opportunity for an Underwriting Quality and Tools Analyst. This position ensures the accuracy, efficiency, financial integrity, and continuous improvement of underwriting processes, rating methodologies, and actuarial evaluations supporting group rating and stop-loss analysis. This role focuses on quality assurance, underwriting governance, actuarial support, process optimization, reporting, tool maintenance, and training to support underwriting operations. The analyst leads quality reviews, manages actuarial and underwriting data integrity, evaluates rating methodologies, refines risk assessment tools, assists in system improvements, and collaborates with internal stakeholders to enhance efficiency and compliance. Reporting to the Manager, Underwriting Quality & Tool, this role plays a key part in driving data integrity, automation, and workflow enhancements.

“This position is eligible to work remotely, 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.”

Why Join Us?

· FamilyComes First : Total rewards package that promotes the idea of family first for all employees.

· Professional Growth Opportunities: Advance your career with ongoing training and development programs.

· Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.

· Trust: Work for one of the most trusted companies in Kansas

· Stability: 80 years of commitment, compassion and community

Compensation

$96,800 - $115,000

Exempt Grade 17

· Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid.All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

What you’ll do

· Oversee and execute quality reviews of Group Rating Intake Tool (GRIT) requests and monthly production work, ensuring accuracy and compliance with actuarial rating methodologies and underwriting guidelines.

· Conduct actuarial, underwriting, and financial impact analysis, including short/long stop-loss period analysis, credibility studies, and underwriting risk assessments to drive data-backed recommendations.

· Develop and implement training materials, procedure manuals, and departmental documentation to ensure standardization and knowledge retention of actuarial methodologies and underwriting practices.

· Identify and implement efficiencies in underwriting workflows, leveraging automation, predictive modeling, and data-driven process improvements to optimize team productivity.

· Develop and deliver technical training on underwriting practices, actuarial methodologies, rating factor adjustments, and risk evaluation techniques.

· Collaborate with internal and external audit teams to support actuarial and underwriting compliance, quality controls, and regulatory reporting.

· Review and validate with final quality reviews for monthly mailings and other underwriting communications to ensure accuracy and clarity.

· Develop, analyze, and maintain rating factors and risk models that support underwriting and actuarial tools, ensuring data-driven decision-making.

· Support SERFF rate filings with the Kansas Department of Insurance (KDOI) ensuring accurate and timely submission of rate justifications and regulatory documents.

· Oversee enhancements to underwriting tools and actuarial databases, ensuring seamless integration of rating models and optimization of underwriting systems.

What you need

· Bachelor's degree in Business, Mathematics, Statistics, Finance, or a related field.

· Minimum of 3 years of experience in underwriting, group rating, actuarial, or quality assurance within the health insurance industry.

Knowledge/Skills/Abilities

· Strong analytical and problem-solving skills to assess underwriting data, quality trends, actuarial trends, risk factors, and process inefficiencies.

· Expertise in quality assurance methodologies and underwriting rating tools.

· Ability to develop and deliver technical training programs and create comprehensive documentation for underwriting processes.

· Knowledge of actuarial and underwriting principles, rating methodologies, and health insurance regulatory compliance.

· Strong organizational skills with the ability to manage multiple tasks and deadlines efficiently.

· Proficiency in reporting, database management, and underwriting system tools.

· Excellent communication and collaboration skills to work effectively with actuarial and underwriting teams, auditors, and regulatory bodies.

· Experience with rate filings (SERFF) and regulatory compliance reporting.

Bonus if you have

· Experience in reporting, process improvement, and automation of underwriting workflows preferred.

· Background in regulatory compliance, rating factors, and underwriting system administration is a plus.

Benefits & Perks

·Base compensation is only one component of your competitive Total Rewards package

oIncentive pay program (EPIP)

oHealth/Vision/Dental insurance

o6 weeks paid parental leave for new mothers and fathers

oFertility/Adoption assistance

o2 weeks paid caregiver leave

o5% 401(k) plan matching

oTuition reimbursement

oHealth & fitness benefits, discounts and resources

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Insurance

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