Underwriter II

UPMC Pittsburgh, PA

About the Job

Description Do you have at leastthree years ofgroup underwriting and claimsexperience? Are you looking to become a part of a growing team? UPMC Health Plan may have the perfect fit for you! UPMC is hiring a full-time Underwriter II to support UPMC Health Plan. This will be a daylight Monday through Friday position located in downtown Pittsburgh. The Underwriter II will be brought on to perform rating and risk assessment of manually and experience rated groups. This involves new business prospects as well as inforce groups. They will be expected to utilize the processes and models developed by the actuarial department and the Manger of Underwriting to assess risk and rate groups rated based on their claims experience while complying with the Underwriting Guidelines. The Underwriter II will need toprovide rates to marketing for requested benefit and enrollment changes within the parameters set for experience rated groups. They will complete necessary administrative duties involved with maintaining the current composition of these groups in the organization's systems. All of these duties are to be performed within the time constraints established by the organization. Responsibilities: Assist marketing with delivering rate explanations to clients. Assumes a lead role, working with the less experience staff, on manually rated production, both renewals and new business. GEF production and dispersion of those GEFs specific to their cases. Needs to think outside the box when rating groups and using the rating tools to accommodate quality of data, applicability of the tools factors relative to the carrier/product being rated, and the health plan's rates relative to the competition. Proficiency in rating groups based on claims experience requiring minimal assistance/guidance. Upon review of this work by more senior underwriters and management less than 8% of work requires material correction. Provide information to marketing on a consultant level. To be able to explain in layman's terms the factors affecting the proposed rate. Underwriting items such as IBNR, accounting for plan/premium changes, appropriate use of credibility, medical underwriting are to be handled with little effort. Utilize and apply the underwriting guidelines appropriately and the ability to perform additional risk analysis. Qualifications Bachelors Degree with a major in Mathematics, Finance or Business Administration or 2 years of group underwriting experience required. Three to four years experience in group underwriting with extensive exposure with rating based on claims experience required. Computer skills including knowledge of excel and demonstrate competency in mathematics, attention to detail, and the ability to work in teams is required. Licensure, Certifications, and Clearances: N/A UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities REQNUMBER: 659985