Underwriting Specialist I

Cambia Health Solutions, Inc.; Boise (ID); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player is seeking an Underwriting Specialist I to join their dedicated team. This role offers the opportunity to contribute to a mission-driven organization focused on creating a sustainable health care system. As an Underwriting Specialist, you will process applications, provide exceptional customer service, and ensure compliance with eligibility criteria. With a supportive work environment and the flexibility of remote work options, this position is perfect for individuals passionate about making a difference in health care. Join a team that values innovation and community engagement while enjoying competitive benefits and a culture of trust.

Benefits

Medical, dental, and vision coverage

Annual employer contribution to HSA

Generous paid time off

401(k) with company match

Paid parental time off

Wellness programs

Employee Assistance Fund

Commute and parking benefits

Qualifications

• 1 year of medical office or customer service experience required.
• High school diploma or equivalent is essential.

Responsibilities

• Process applications ensuring eligibility criteria are met.
• Perform outreach to applicants via phone, email, or letter.
• Review applications for completeness and coverage eligibility.

Skills

Customer Service

Medical Office Experience

Typing Skills

Microsoft Office

Organizational Skills

Communication Skills

Education

High School diploma or GED

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Underwriting Specialist I page is loaded

Underwriting Specialist I

Apply locations: Lewiston, ID; Salt Lake City, UT; Medford, OR; Coeur d'Alene, ID; Portland, OR

Time type: Full time

Posted on: Posted 3 Days Ago

Job requisition id: R-5622

Underwriting Specialist I

Work from home within Oregon, Washington, Idaho, or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia’s dedicated team of Underwriting Specialists are living our mission to make health care easier and lives better. As a member of the Actuarial and Underwriting team, our Underwriting Specialists process applications in an accurate and timely fashion ensuring eligibility criteria is met and provide customer service to those inquiring about potential or pending policies – all in service of creating an economically sustainable health care system.

Do you have a passion for serving others and learning new things? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• High School diploma or GED
• 1 year medical office, customer service or call center experience
• Or equivalent combination of education and experience.

Skills and Attributes:

• Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.
• Ability to type 30 wpm with 95% accuracy.
• Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.
• Ability to organize, prioritize and manage multiple tasks.
• Demonstrated ability to establish effective working relationships with coworkers and customers.
• Proven ability to be dependable and maintain attendance and production standards at or above department standards.
• Ability to communicate effectively both orally and in writing.

What You Will Do at Cambia:

• Perform outreach to identified applicants and members via phone, email or letter to obtain information needed for application processing.
• Review applications for completeness, residency, third party payers and coverage eligibility.
• Perform peer audits of eligibility criteria for individual applications, both on and off exchange, and Medigap applications.
• Prepare and validate processed files for imaging and retention; coordinate document retention and storage, manage and maintain records of received documents and produce application files from electronic sources.
• Enter document numbers for approved files into tracking system, validate and enter application approval/acceptance information and release file to Membership for activation.
• Produce correspondence, audit all outgoing correspondence and research and document miscellaneous correspondence received by department.
• Make, receive and document phone calls.
• Incorporate and apply changes made to Underwriting, State or Federal policies to ensure current requirements are met.
• Track production statistics.
• Comply with MTM and HIPAA Privacy standards.

The expected hiring range for an Underwriting Specialist I is $17.75 – $18.50/hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 5%. The current full salary range for this role is $17.75 - $28.90/hour.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail].