DescriptionCulture rules at Delta to our becoming the leading dental benefits carrier in the state reaching over 500000 Idahoans with our dental plans and community outreach on ego and big on us involved in community events and Did you make someone smile today on our employeeshave the opportunity tomake a difference in peoples lives while working in an environment full of challenge collaboration flexibility and industry-leading growth our team committed to better oral health for all Idahoans.
TheDental Underwriterat Delta Dental of Idahois responsible forexecuting a wide range of underwriting tasks including rate analysis Department of Insurance(DOI)and Affordable Care Act(ACA)compliance regulatory form filings and contract support addition this position will coordinate with third party actuaries and internal resources such as product managers salesITand finance to ensure accuracy and timeliness in all underwriting activities.
ESSENTIAL FUNCTIONS
- Develop an understanding of dental terminology dental benefits risk assessment underwriting guidelines contractlanguageand the underwriting process and procedures.
- Analyze and set rates for pool-related plans individual ACA (Affordable Care Act) self-insured (ASC) and experience rated groups and perform special rating requests as they arise.
- Identifyand complete group renewals including poolsAdministrative Services Contract (ASC) and experience rated groups.
- Recommend renewal rating and quote alternate options as needed.
- Collaborate with the sales team to ensure new business quotes areaccurateandtimely.
- Review group termination requests for accuracy andto ensurecontractual requirements are met.
- Support Underwriting Assistant with approving new group applicationsterminatinggroups producerappointmentsor reassignments.
- May superviseUnderwritingAssistant including hiring coaching developing and engaging employees.
- Embrace andutilizeAI to improve processes and drive efficiency.
- Develop a robust working knowledge of Proclaim and supporting software required to perform the underwriting and group setup activities.
- Coordinate with third party actuaries and finance toestablishthe IBNR reserves.
- Ensure regulatory and policy compliance by filing required rates and forms; adhering to DOI CMS/ACA andDelta Dental Plans Association (DDPA)guidelines; supporting audits; and staying current on regulatory changes.
- Demonstrate a commitment to the organizations vision mission values code of ethics and compliance/security standards.
- Other duties as assigned.
RequirementsKNOWLEDGE SKILLS AND ABILITIES
- Bachelors degreein accounting finance math/statisticsor equivalent experiencerequired.
- 3 to 5 years experience in insurance underwriting or a related industry.
- Strong analytical organizational and communication skills with attention to detail and sound judgment.
- Experience with regulatory filings rate analysis and contract management.
- Ability to prioritizework with deadlines and manage multiple tasks.
- Proficiencyin Microsoft Office (especially Excel) and ability to embrace new AI-enabled software tools to improve underwriting efficiency.
- Ability to use approved AI tools to extract structure andvalidatedata from underwriting reports (including PDF-based outputs andProClaimreporting) to reduce manual re-keying and support renewal rate analysis.
- Ability to apply AI-assisted analysis toidentifyrenewal rate drivers trends and variances including reconcilingProClaimoutputs withAccounting/financial outputs and flagging anomalies for follow-up.
- Demonstrated responsibleAIuse in a regulated/confidential environment including validating outputs for accuracy and following compliance/security standards when handling sensitive information.
PHYSICALAND MENTALREQUIREMENTS
- Sitting/Standing (alternatively) continuously
- Keyboard Use/Repetitive Hand motion continuously
- Skill/ability related to comprehension organization reasoning/decision-makingand communicationappropriate toposition/level
BenefitsDelta Dental of Idahooffers a competitive benefits plan including:
- Medical dental and vision
- 401K with up to 6% company contribution
- Generous PTO and up to 9 paid holidays
- Flexible schedule and1/2 dayFridays
- Tuition and continuing education reimbursement
OUR CULTURE
AHS/DDIDseeksto provide a positive workplace where employees are treated withrespectand all are accountable for living our values and Code of Ethics while empowered to help the organization succeed in achieving its mission and vision.
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or veteran status.
Individuals that may needassistancewith the applicant or interview process may contact human resources ator by phone: .
DescriptionCulture rules at Delta to our becoming the leading dental benefits carrier in the state reaching over 500000 Idahoans with our dental plans and community outreach on ego and big on us involved in community events and Did you make someone smile today on our employeeshave the opportunit...
DescriptionCulture rules at Delta to our becoming the leading dental benefits carrier in the state reaching over 500000 Idahoans with our dental plans and community outreach on ego and big on us involved in community events and Did you make someone smile today on our employeeshave the opportunity tomake a difference in peoples lives while working in an environment full of challenge collaboration flexibility and industry-leading growth our team committed to better oral health for all Idahoans.
TheDental Underwriterat Delta Dental of Idahois responsible forexecuting a wide range of underwriting tasks including rate analysis Department of Insurance(DOI)and Affordable Care Act(ACA)compliance regulatory form filings and contract support addition this position will coordinate with third party actuaries and internal resources such as product managers salesITand finance to ensure accuracy and timeliness in all underwriting activities.
ESSENTIAL FUNCTIONS
- Develop an understanding of dental terminology dental benefits risk assessment underwriting guidelines contractlanguageand the underwriting process and procedures.
- Analyze and set rates for pool-related plans individual ACA (Affordable Care Act) self-insured (ASC) and experience rated groups and perform special rating requests as they arise.
- Identifyand complete group renewals including poolsAdministrative Services Contract (ASC) and experience rated groups.
- Recommend renewal rating and quote alternate options as needed.
- Collaborate with the sales team to ensure new business quotes areaccurateandtimely.
- Review group termination requests for accuracy andto ensurecontractual requirements are met.
- Support Underwriting Assistant with approving new group applicationsterminatinggroups producerappointmentsor reassignments.
- May superviseUnderwritingAssistant including hiring coaching developing and engaging employees.
- Embrace andutilizeAI to improve processes and drive efficiency.
- Develop a robust working knowledge of Proclaim and supporting software required to perform the underwriting and group setup activities.
- Coordinate with third party actuaries and finance toestablishthe IBNR reserves.
- Ensure regulatory and policy compliance by filing required rates and forms; adhering to DOI CMS/ACA andDelta Dental Plans Association (DDPA)guidelines; supporting audits; and staying current on regulatory changes.
- Demonstrate a commitment to the organizations vision mission values code of ethics and compliance/security standards.
- Other duties as assigned.
RequirementsKNOWLEDGE SKILLS AND ABILITIES
- Bachelors degreein accounting finance math/statisticsor equivalent experiencerequired.
- 3 to 5 years experience in insurance underwriting or a related industry.
- Strong analytical organizational and communication skills with attention to detail and sound judgment.
- Experience with regulatory filings rate analysis and contract management.
- Ability to prioritizework with deadlines and manage multiple tasks.
- Proficiencyin Microsoft Office (especially Excel) and ability to embrace new AI-enabled software tools to improve underwriting efficiency.
- Ability to use approved AI tools to extract structure andvalidatedata from underwriting reports (including PDF-based outputs andProClaimreporting) to reduce manual re-keying and support renewal rate analysis.
- Ability to apply AI-assisted analysis toidentifyrenewal rate drivers trends and variances including reconcilingProClaimoutputs withAccounting/financial outputs and flagging anomalies for follow-up.
- Demonstrated responsibleAIuse in a regulated/confidential environment including validating outputs for accuracy and following compliance/security standards when handling sensitive information.
PHYSICALAND MENTALREQUIREMENTS
- Sitting/Standing (alternatively) continuously
- Keyboard Use/Repetitive Hand motion continuously
- Skill/ability related to comprehension organization reasoning/decision-makingand communicationappropriate toposition/level
BenefitsDelta Dental of Idahooffers a competitive benefits plan including:
- Medical dental and vision
- 401K with up to 6% company contribution
- Generous PTO and up to 9 paid holidays
- Flexible schedule and1/2 dayFridays
- Tuition and continuing education reimbursement
OUR CULTURE
AHS/DDIDseeksto provide a positive workplace where employees are treated withrespectand all are accountable for living our values and Code of Ethics while empowered to help the organization succeed in achieving its mission and vision.
All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or veteran status.
Individuals that may needassistancewith the applicant or interview process may contact human resources ator by phone: .
View more
View less