Underwriter - Healthcare

Evaluates data and risk characteristics of groups to assist in the establishment of prospect and renewal rates, working independently through initial recommendations. Trains Underwriter I on new tools as needed. The Underwriter II has demonstrated knowledge of core underwriting concepts and techniques, general health insurance and benefit and funding designs / methodology.

Formal Education Required :

• Bachelor’s degree or equivalent combination of education and / or experience.

Experience & Training Required :

Other Skills, Competencies and Qualifications :

Essential Functions :

1. Evaluates prospective group risk (fully-insured) through examination of risk data. Enrolls new business following Sold case procedures.

2. Makes initial recommendations on case specific renewals based on both experience and a review of medical management notes.

3. Responds to change requests from Sales and Brokers. Assists with preparation of renewals, quotes and self-funded and / or fully-insured RFP documents.

4. Prices custom benefit plans using Milliman CORAL tailored benefit pricing tool (Large Group UW specific).

5. Analyzes medical questionnaires to score health conditions for Prospects via Web MUGs.

6. Assists with updates for the underwriting policy manual.

7. Performs all job functions with integrity. Provides timely internal and external customer service in cooperative, professional, and respectful manner.

Level of Physical Demands :

As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Summa Health has developed a forward-thinking, nationally recognized health-business model, allowing SummaCare to work together to deliver clinical excellence and exceptional member services by providing coordinated, value-based care for the people and populations they serve.

Equal Opportunity Employer / Veterans / Disabled

$30.91 / hr - $46.36 / hr

The salary range on this job posting / advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.

Basic Life and Accidental Death & Dismemberment (AD&D)

Supplemental Life and AD&D

Dependent Life Insurance

Short-Term and Long-Term Disability

Accident Insurance, Hospital Indemnity, and Critical Illness

Retirement Savings Plan

Flexible Spending Accounts – Healthcare and Dependent Care

Employee Assistance Program (EAP)

Identity Theft Protection

Pet Insurance

Education Assistance

Daily Pay