Job Information
CAMBIA HEALTH SOLUTIONS, INC. Underwriter I, II, III, Sr. or Lead in SALT LAKE CTY, Utah
Underwriter I (entry level), II, III, Senior or Lead
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 Underwriters is living our mission to make health care easier and lives better. As a member of the Underwriting team, our Underwriters carefully evaluate each assigned group's risk and attach the appropriate rate - all in service of creating an economically sustainable health care system.
Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
- The Underwriter I would have a Bachelor's degree in business, math, statistics or related discipline or an equivalent combination of education and experience.
- The Underwriter II would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 2 years related experience or an equivalent combination of education and experience.
- The Underwriter III would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 4 years related experience or an equivalent combination of education and experience.
- The Underwriter Senior would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 6 years related experience or an equivalent combination of education and experience.
- The Underwriter Lead would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 8 years related experience or an equivalent combination of education and experience.
Skills and Attributes:
- Demonstrated analytical and problem solving skills. (UW I - Lead)
- Business sense including: finance, accounting, economics, and risk management principles. (UW I - Lead)
- Effective verbal and written communications. (UW I - Lead)
- Ability to build and maintain positive internal and external customer interactions. (UW I - Lead)
- Ability to prioritize tasks and meet deadlines. (UW I - Lead)
- Demonstrated technology proficiency, including Excel, Word, and applicable software applications. (UW I - Lead)
- Demonstrated success with managing competing priorities and workload (UW II - Lead)
- Demonstrated proficiency working with complex computer software systems and automation. (UW III - Lead)
- Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity and/or understanding. (UW III - Lead)
- Proven understanding of business, including: finance, accounting, economics, and risk management. (Senior & Lead)
- Demonstrated attainment of a high level of independent, consistent performance. (Senior & Lead)
- Ability to organize, plan, prioritize and complete complex assignments with little or no supervision. (Senior & Lead)
- Demonstrated ability to read the marketplace and competitive environment. (Senior & Lead)
- Highly developed business acumen, finance, accounting, economics, and risk management. (Lead)
What You Will Do at Cambia:
UW I - Lead
- Approves renewal changes after verifying rates and product selection.
- Audits both new and renewing groups as necessary.
- Determines rates for alternative benefit variations.
- Ensures that group participation requirements are met.
- Prepare rate filings.
- Follows und erwriting guidelines, policies, procedures and formulas in developing rates for new and renewal groups.
- Gathers the appropriate data used to determine the status of account refunds.
- Maintains spreadsheet information on group renewal history.
- Prepares memos and other correspondence to communicate changes in rates o benefits which have been approved by underwriting management.
- Processes the appropriate paperwork associated with renewal rate action and proposal closing.
- Supports internal sales staff regarding underwriting questions and/or resolves issues.
- Effectively communicates Underwriting decisions to other departments when necessary.
UW II - Lead
- May determine rates for alternative benefit variations and funding arrangements.
- Assist in the training process and mentoring of more junior level Underwriters.
- Prepares contingent premium settlements.
- Prepares the rate quotations and completes bid specifications.
- Processes group financial settlement calculations.
- Reviews and determines whether or not to grant exception requests.
- Supports management reporting efforts and the development of automated rating and analysis tools.
UWIII - Lead
- May determine rates for alternative benefit variations and more complex funding arrangements.
- Actively involved in the preparation and maintenance of underwriting guidelines and rating policy.
- Actively involved with testing new rating, underwriting and front end systems.
- Answers questions regarding the basic factors used in developing rates, (group size, type of benefits, age/gender composition, large claims, experience provided from the prior carrier, current rates).
- Answers questions regarding the rate model and how it impacts rates in accordance with particular group demographic changes.
- Assesses health risk in a group environment (performs large claim analysis for ongoing claim cost).
- Develops prospective and renewal rates for group accounts in accordance with corporate and underwriting guidelines.
- Reviews and determines whether or not to grant exceptions to underwriting policy.
- Ensures the proper administration of underwriting and legislative guidelines for new and renewing groups.
- Handles large volume production with account specific issues (I.e. reinstatements, eligibility standards, group identification criteria, etc)
- Maintains a working knowledge of State and Federal regulations affecting group rating.
- Prepares rate breakouts and hierarchy definitions for group setups.
- Reviews and directs the preparation of experience reports for fiscal, ERISA and contingent premium settlements.
- May meet with external customers, brokers or account representatives to review underwriting calculations and provide explanations for rating principles.
- May prepare written summaries of recommendations and/or conditions of coverage for the group after completion of each analysis.
- May prepare an explanation of the past rating history, documenting benefit and enrollment changes, and providing a recommendation for benefit and financial options.
UW Senior & Lead
- Contribute to timely and accurate productivity by assisting the Manager in education to new Underwriters.
- Attends broker meetings, as well as meetings with sales executives, agents and/or groups to provide explanations of rating principles or rationale of rating positions.
- Contributes to the development of new rating formulas, methodologies and guidelines.
- Represent underwriting on Cambia workgroups and strategy sessions and serves as department representative where applicable.
UW Lead
- Responsible for the assignment of workload and ensuring smooth operations.
- Tracking timeliness and quality of work output.
- May be responsible for peer review and sign-off.
The expected hiring range for a Underwriter I is $22.53 - $32.78 per hour depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full salary range for this role is $21.20 to $37.50 per hour.
The expected hiring range for a Underwriter II is $56,100.00 - $75,900.00 depending on skills, exper