Underwriting Specialist I

Cambia Health Solutions; United States; Remote; Full time

Job summary

Join a leading health care company as an Underwriting Specialist I, where you'll process applications and provide customer service. This role offers a chance to contribute to a sustainable health care system while working from home in select states. Ideal candidates will have strong communication skills, a high school diploma, and experience in customer service. Enjoy competitive pay, comprehensive benefits, and a supportive work environment focused on innovation and care.

Benefits

401(k) with company match

Bonuses

Health coverage

Paid time off

Wellness programs

Flexible work-from-home options

Qualifications

• 1 year of medical office, customer service, or call center experience.
• Ability to learn complex systems.

Responsibilities

• Perform outreach to applicants via phone, email, or letter.
• Review applications for completeness and eligibility.
• Maintain compliance with MTM and HIPAA Privacy standards.

Skills

Communication

Organizational Skills

Typing

Judgment

Education

High School diploma or GED

Tools

Microsoft Office

Job description

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 live our mission to make health care easier and lives better. As part of the Actuarial and Underwriting team, our Underwriting Specialists process applications accurately and promptly, ensuring eligibility criteria are met, and provide customer service regarding 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 of medical office, customer service, or call center experience
• Or an equivalent combination of education and experience

Skills and Attributes:

• Ability to exercise sound judgment, initiative, and discretion in a mature, sensitive, and confidential manner
• Typing speed of 30 wpm with 95% accuracy
• Computer skills including Microsoft Office (Word, Excel, Outlook) or similar software, and ability to learn complex systems
• Organizational and prioritization skills to manage multiple tasks
• Effective communication skills, both oral and written
• Ability to establish effective working relationships with coworkers and customers
• Dependability and consistent attendance and performance

What You Will Do at Cambia:

• Perform outreach to applicants and members via phone, email, or letter to gather information for application processing
• Review applications for completeness, residency, third-party payers, and coverage eligibility
• Conduct peer audits of eligibility for various applications
• Prepare and validate files for imaging and retention; manage document records
• Enter data into tracking systems and coordinate application approvals and activations
• Produce and audit correspondence, handle incoming calls
• Apply policy changes to ensure compliance with regulations
• Track production metrics
• Maintain compliance with MTM and HIPAA Privacy standards

The hiring range for this role is $17.75 – $18.50/hour, with a bonus target of 5%. The full salary range 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, with a rich 100+ year history. Our colleagues are committed to transforming health care and supporting each other and our communities with compassion and empathy.

Why Join the Cambia Team?

At Cambia, you can:

• Collaborate with diverse teams on innovative health care solutions
• Earn a competitive salary and comprehensive benefits
• Grow your career with a supportive company
• Participate in community outreach programs
• Join employee resource groups

Our benefits include competitive pay, a 401(k) with company match, bonuses, health coverage, paid time off, wellness programs, and more. We also offer flexible work-from-home options, requiring a reliable wired internet connection with specified speed minimums.

We are an Equal Opportunity employer committed to a drug- and tobacco-free workplace. Background checks are required. For accommodations, contact [e-mail]. See our Privacy Policy for more information.