The Group Supplemental Health Underwriter evaluates group applications for supplemental health plans, assessing risks, pricing policies, and ensuring compliance with regulations. The role involves determining appropriate coverage terms and pricing, working with brokers, agents, and other teams to provide competitive and profitable solutions.
Key Responsibilities:
Risk Assessment and Analysis:
- Review group applications and analyze risk factors, such as medical history and group demographics.
- Use underwriting tools to determine appropriate risk levels and pricing for each group.
Pricing and Policy Determination:
- Calculate premiums based on group size, industry, and other factors.
- Develop policy terms, conditions, and exclusions tailored to the group's needs.
Compliance and Regulation:
- Ensure all decisions comply with relevant health insurance regulations.
- Stay updated on regulatory changes and industry trends.
Client Communication:
- Communicate underwriting decisions and policy terms clearly to brokers, agents, and clients.
- Collaborate with sales teams to provide customized solutions.
Documentation and Reporting:
- Maintain accurate records of underwriting decisions and risk assessments.
- Prepare reports for senior management.
Claims and Trend Analysis:
- Analyze claims data to inform future underwriting and pricing decisions.
Key Skills and Competencies:
- Strong knowledge of health insurance underwriting and risk assessment.
- Analytical skills to evaluate data and trends.
- Excellent communication and negotiation skills.
- Attention to detail in ensuring accurate and compliant underwriting decisions.
Qualifications:
- Education: Bachelor's degree
- Experience: Experience in supplemental healthunderwriting
