Group Underwriter II
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Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 78000 - 113453
Posted on:
21 hours ago
Vacancies:
1 Vacancy
Job Summary
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Responsible for evaluating and analyzing group insurance experience and community-rated fully and self-insured accounts. This role involves assessing the financial and operational aspects of group insurance proposals to determine coverage eligibility pricing and terms. The role operates with minimal supervision and is expected to be thoroughly versed in all concepts of claims analysis claims projection and benefit analysis. Consistently demonstrates a sound and thorough understanding of all Underwriting concepts to produce work with broad independence.Essential Functions
-Review and analyze group insurance accounts including medical dental and other health-related plans.
-Evaluate risks associated with group applications considering factors such as demographics claims history and market trends.
-Assume full responsibility for some Underwriting standard processes as assigned by the manager.
-Develop and present underwriting recommendations based on thorough analysis and risk assessment.
-Collaborate with brokers agents and healthcare providers to gather necessary information and clarify underwriting requirements.
-Comfortable collaborating with care management staff to leverage clinical data to improve underwriting projections.
-Train and/or mentor junior Underwriters.
-May help direct the workflow of more junior members of the team.
-Produce high-quality error-free analyses that are reliable and understandable.
-Produce client-specific reporting promptly ensuring data is consistent with prior distribution and other related Underwriting material. This reporting function will serve to support renewal underwriting as well as regular and ad-hoc client reporting.
-Regularly attend external client and consultant meetings to explain defend and negotiate premiums and Underwriting methodologies for both renewing and prospective clients rarely requiring support from the Underwriting manager.
-Ensure compliance with regulatory standards and internal policies throughout the underwriting process.
Qualifications
Education
- Bachelors Degree required (experience can be accepted in lieu of degree)
Experience
- At least 3-5 years of experience in group underwriting preferably within the healthcare or insurance sector required
Knowledge Skills and Abilities
- Excellent analytical and quantitative skills with the ability to interpret complex data.
- Strong attention to detail and accuracy in evaluations and recommendations.
- Proficient in underwriting software and Microsoft Office Suite particularly Excel.
- Effective communication skills both written and verbal to convey complex information clearly.
- Comfortable presenting and defending rating methodology to clients and consultant partners.
- Strong interpersonal skills to build and maintain relationships with internal and external stakeholders.
- Ability to work independently and manage multiple projects simultaneously.
Additional Job Details (if applicable)
Working Conditions
- This is a hybrid role with occasional team meetings at the office or visits to clients (roughly every few months)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$78000.00 - $113453.60/AnnualGrade
7EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Key Skills
- Loan Processing
- Computer Skills
- Fraud
- Math
- Banking
- Pricing
- Analysis Skills
- Fair Housing Regulations
- Underwriting
- Financial Analysis
- negotiation
- Phone Etiquette
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
