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Underwriting Consultant

Location Clackamas, Oregon Job Number 1003676 Date posted 10/14/2021
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Description:
Anticipate key business, marketplace and competitor dynamics in developing and implementing strategies to optimize business results which include retention and growth targets while mitigating risk. Primary focus is on establishing the appropriate rate and conditions of offering to achieve revenue, membership and margin goals. Additionally, processes and policies are managed to support optimal customer service while collaborating with Sales/Account Management partners to optimize business opportunities and effective solutions.




Essential Responsibilities:



  • Partner with Sales and Account Management to create and execute a business plan that optimizes our opportunities across book of business.

  • Produce accurate quotes in compliance with Underwriting & authority guidelines and state & federal laws for existing and prospective business.

  • Develop and execute account and/or book of business plans to ensure attainment of goals primarily on complex cases.

  • Lead peer review including the most complex cases to ensure accuracy & appropriateness of quote.

  • Manage business processes and 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 and interpret existing policies, procedures, and methodology.

  • Develop and leads in the implementation of continuous quality improvement programs.

  • Partner with & influenceother internal customers to ensure KP business processes are in alignment with organizational goals.

  • Ensure Underwriting is an integral partner in the creation of effective business solutions/

  • Establish and leverage relationships with Sales/Account Management that optimizes business potential with purchasers, brokers & consultants.

  • Develop creative solutions that maximize credibility with customers & Sales/Account Management and external customers.

  • Proactively acquire & exhibit knowledge of the external business environment to add value.

  • Provide leadership to the team.

  • Create and maintain positive, empowering work environment.

  • Act as a role model.

  • Coach and develop team members.


Basic Qualifications:


 


Experience:



  • Minimum five (5) years experience in rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.



Education:




  • Bachelors degree required in business administration, health care administration, mathematics, statistics, or related degree OR four (4) years of experience in rating, underwriting, marketplace evaluations, and/or financial analysis in a managed care environment.



License, Certification, Registration:




  • N/A

     



Additional Requirements:



  • Experience creating client presentations using Microsoft Office programs and use of client databases.

  • Experience using effective verbal and written communication skills.

  • Experience in interpersonal, presentation, and persuasion skills.

  • Experienced in meeting individual business objectives.

  • Previous experience with employee group benefits.

  • Proficiency in computer and analytic skills.

  • Demonstrated customer service skills with the ability to articulate and respond to highly complex issues.

  • Proficiency and understanding of underwriting processes, healthcare products, and contracts.

     



Preferred Qualifications:



  • Experience in Large Group Underwriting.

  • Seven (7) years quantitative analysis experience.


Primary Location: Oregon,Clackamas,Kaiser Permanente National Accounts NW Additional Locations:

Atlanta
Baltimore
Burbank
Denver
Fresno
Oakland
Pasadena
Sacramento
Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee Job Level: Individual Contributor Department: Po/Ho Corp - HP PROD MGMT-NATL ACCTS Pricng - 7016 Travel: Yes, 5 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.