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Group Underwriter - Large, Senior

Company: Blue Shield of CA
Location: Costa Mesa
Posted on: May 16, 2020

Job Description:

At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. Were excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Areas top companies in volunteering & giving, and one of the worlds most ethical companies. Here at Blue Shield of California, were striving to make a positive change across our industry and the communities we live in Join us!

Helping make high-quality health care for Californians easy, accessible and affordable is a great calling. Join the hardest working, not-for-profit health plan in California and be part of the solution.



ESSENTIAL JOB RESPONSIBILITIES:

*

Applies appropriate actuarial factors and rating methods to determine potential exposure to BSCs products.
*

Collects, reviews and assesses customer specific data including financial condition, employee demographics and past claim experience to determine degree of risk, appropriate benefits and rates.
*

Reviews requests for quotes, develops and reviews bid specifications, benefit plan design features and financial alternatives for complex, fully insured cases as well as alternative funding arrangements.
*

Participates in discussions and negotiates with sales reps on new and renewal business. May be included in discussions with brokers, consultants and employers.
*

Reviews and approves rates in sales requests and updates UW financial and tracking databases.
*

Serves as subject matter expert on underwriting policies and practices and plays a key role on sales presentations to brokers and employers.
*

Prepares ad hoc statistical reports as requested or on regular basis.
*

May assist the sales team in implementing new or existing contracts by reviewing enrollment participation.
*

Provides underwriting knowledge sharing, education, advice and coaching to other underwriters and departments.

Helping make high-quality health care for Californians easy, accessible and affordable is a great calling. Join the hardest working, not-for-profit health plan in California and be part of the solution.



ESSENTIAL JOB RESPONSIBILITIES:

*

Applies appropriate actuarial factors and rating methods to determine potential exposure to BSCs products.
*

Collects, reviews and assesses customer specific data including financial condition, employee demographics and past claim experience to determine degree of risk, appropriate benefits and rates.
*

Reviews requests for quotes, develops and reviews bid specifications, benefit plan design features and financial alternatives for complex, fully insured cases as well as alternative funding arrangements.
*

Participates in discussions and negotiates with sales reps on new and renewal business. May be included in discussions with brokers, consultants and employers.
*

Reviews and approves rates in sales requests and updates UW financial and tracking databases.
*

Serves as subject matter expert on underwriting policies and practices and plays a key role on sales presentations to brokers and employers.
*

Prepares ad hoc statistical reports as requested or on regular basis.
*

May assist the sales team in implementing new or existing contracts by reviewing enrollment participation.
*

Provides underwriting knowledge sharing, education, advice and coaching to other underwriters and departments.

MINIMUM EXPERIENCE LEVEL:

*

Experience 4 7 years with BA or 2-5 years with MBA.
*

BA/BS in a related field such as finance, mathematics or accounting and/or equivalent combination of education and experience.
*

Comprehensive knowledge of Health Plan medical products including their financial drivers and funding arrangements including fully insured, ASO, flex funding and refund accounting required.
*

Strong analytical and problem-solving skills.
*

Strong knowledge of medical underwriting principles, practices and techniques.
*

Extensive math, analytical skills including ability to conduct statistical modeling.
*

Excellent negotiation and customer service skills.
*

Ability to perform as a team member and collaborate with other teams/depts.
*

Requires an attention to detail and accuracy with ability to see the big picture of the companys sales strategy.
*

Comprehensive knowledge of Excel and other MS Office software.

SUPERVISORY RESPONSIBILITIES:

*

Expected to mentor lower level underwriters and provide work direction, guidance and feedback.
*

May serve as team leader of cross functional work teams.

MINIMUM EXPERIENCE LEVEL:

*

Experience 4 7 years with BA or 2-5 years with MBA.
*

BA/BS in a related field such as finance, mathematics or accounting and/or equivalent combination of education and experience.
*

Comprehensive knowledge of Health Plan medical products including their financial drivers and funding arrangements including fully insured, ASO, flex funding and refund accounting required.
*

Strong analytical and problem-solving skills.
*

Strong knowledge of medical underwriting principles, practices and techniques.
*

Extensive math, analytical skills including ability to conduct statistical modeling.
*

Excellent negotiation and customer service skills.
*

Ability to perform as a team member and collaborate with other teams/depts.
*

Requires an attention to detail and accuracy with ability to see the big picture of the companys sales strategy.
*

Comprehensive knowledge of Excel and other MS Office software.

SUPERVISORY RESPONSIBILITIES:

*

Expected to mentor lower level underwriters and provide work direction, guidance and feedback.
*

May serve as team leader of cross functional work teams.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Keywords: Blue Shield of CA, Costa Mesa , Group Underwriter - Large, Senior, Accounting, Auditing , Costa Mesa, California

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