Underwriter III

Workforce Classification:

Telecommuter

Join Our Team: Do Meaningful Work and Improve People’s Lives

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.

As an Underwriter III, you will support Premera’s corporate financial and membership goals by evaluating and selecting risk using internal and external data and data sources. This role offers the opportunity to acquire a specialized skill set, continued career growth, and a collaborative work environment.

This is a remote/telecommuter position, working from home.

What you’ll do:

• Evaluate, develop rates, and accept or reject risk, after examining appropriate information required to underwrite proposals and renewals. Work will include groups and self-funding clients of all sizes and complexities including associations and national accounts.

• Use independent judgment or judgment with appropriate level of peer/manager review to evaluate system-generated rate calculations for reasonability of the risk.

• Mastery of alternative funding arrangements and alternate benefit packages, to proactively suggest solutions and determine anticipated risk impact.

• Proactively suggest alternative options as necessary and develop final rates for benefit offerings.

• Develop and present materials to internal and external customers. Proactively and professionally consult with customers to deliver underwriting value-added services in managing the business.

• Verify sold group information for new and existing business.

• Develop and prepare federal and state reporting documents.

• Utilize applications to support the rating and underwriting process, including but not limited to systems, claims reporting, and reporting databases.

• Develop and enforce underwriting guidelines and rules, and administrative rules under which Premera will accept a risk under direction and approval by management.

• Monitor and direct activities on case specific issues and/or projects.

• Test system(s), update procedures before and after implementation, and troubleshoot/test errors/update with others.

• Recommend solutions to improve documents and procedures/processes for various rating and other systems.

• Utilize systems including Optum, Siebel, and Trizetto platforms to transmit and extract data.

• Train all level underwriting associates on policy and procedure.

• Train non-underwriting departments of underwriting policy and procedure.

• As an underwriting subject matter expert, represent and advocate the Underwriting department both internally and externally.

• Consult with senior leadership in managing the business and on special projects.

• Provide leadership and mentoring to less experienced underwriters.

What you’ll bring:

Required Qualifications

• Bachelor's Degree in Business Administration, Mathematics, or related field of study, or (4) years of related work experience.

• (5) years of health insurance underwriting experience.

Preferred Qualifications

• Advanced Excel skills and intermediate Access skills.

• Mastery of alternate funding arrangements and underwriting policies and procedures.

• CEBS, HIAA, CLU, CHC, or FLMI designations and/or state insurance license.

Knowledge, Skills, and Abilities

• Strong verbal and written communication skills.

• In-depth knowledge of mathematical principles used in underwriting function.

• Strong research, analytical, and decision-making skills.

• Advanced knowledge of healthcare benefits and programs.

• Ability to document procedures and processes.

• Ability to develop and present materials to inte