Underwriting's overarching function is to anticipate key business, marketplace & competitor dynamics in developing & implementing strategies to optimize business results which include retention & growth targets while mitigating risk. Primary focus is on establishing the approp rate & conditions of offering to achieve revenue, membership & margin goals. Additionally, processes & policies are managed to support optimal customer service while collaborating w/ Sales/Account Mgmt partners to optimize business opportunities & effective solutions.
Essential Functions:
- Manage business processes & policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc
- Meets established department turn around goals by balancing deadlines
- Designs new & interpret existing policies, procedures, & methodology
- Develop & leads in the implementation of continuous quality improvement programs
- Partner w/ & influence other internal customers to ensure KP business processes are in alignment w/ organizational goals
- Ensure Underwriting is an integral partner in the creation of effective business solutions
- Establish & leverage relationships w/ Sales/Account Mgmt that optimizes business potential w/ purchasers, brokers & consultants
- Develop creative solutions that maximize credibility w/ customers & Sales/Account Mgmt & external customers
- Proactively acquire & exhibit knowledge of the external business environment to add value
- Provide leadership to the team
- Create & maintain positive, empowering work environment
- Act as a role model
- Coach & develop team members
- The Underwriting function impacts the financial results of the region or national organization & at this level significant loss could occur to a mid/large or jumbo set of groups or book of business that would dramatically impact the regions financials
- At this level, the business impact could be to customer loyalty & future or repeat business
- Unchecked leadership behavior could result to erosion of ROI for investments made in the infra-structure
- Focus at this level shifts from rate to utilization of analytics to provide creative solutions to the customer in partnership w/ Sales & Account Mgmt.
- Working w/ mgmt leads the peer review of the most complex cases & provides recommendation to reformulate rates based on shift in strategy or customer preference
- Consistently uses a systematic approach to break down complex problems into simple tasks & to trace the implications of a situation in a step-by-step way; applies sound decision-making skills to generate multiple solutions; leads others in solving problems
- Develops solutions to a diverse range of complex problems, which require creativity & innovation w/in broadly defined policies & practices
- Requires in-depth analysis to identify & recommend new solutions for more complex problems
- Exercises considerable latitude in determining objectives & approaches to assignment
- Work is accomplished w/out considerable direction
- Work is evaluated upon completion to ensure objectives & performance requirements have been met
- Formally accountable for coaching & develop of individuals & groups for effective execution of functional & regional goals
Qualifications:
Basic Qualifications:
- Five (5) or more years of progressive experience in rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.
- Large group underwriting preferred; or seven (7) years of quantitative analysis experience, preferred
- Bachelor's degree preferred in mathematics, statistics, business administration, or a related field or applicable related work experience
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.