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Kaiser Permanente Careers

Insurance & Claims

Delivery You Can Count On

As a member of our Claims Connect team, you'll help process and deliver the claims information Kaiser Permanente's members, providers, regulators, and customers need, and expect, from a world-class health care organization.

Underwriter II - KP Washington

Location: Renton, WA Additional Locations:
Job Number: 872684 Date posted: 05/20/2020
Description:
This position works with a team of analysts and actuaries to support premium rate setting, provider contract analysis, network analysis, Medicare bid submissions, underwriting and other financial risks associated with health insurance. The Underwriter II is primarily responsible for pulling and preparing data, but also builds and maintains analytic models and performs basic analytics under the supervision of more experienced analytics.

Essential Responsibilities:
  • Analyze health care data: Evaluate data files and data elements to understand premium, claim, and exposure experience. Evaluate credibility based on population size and prior predictive behavior of the pool / account. ¬†Identify potential data issues and research solutions.
  • Development of Actuarial Tools and Data Resources: Create and maintain models (such as rate model and benefit pricing tools) that support the analysis of business strategy and financial risk management. Document models, tools, assumptions and data elements as necessary for compliance and continuity.
  • Analyze performance of line of business / account / provider: Assess overall LOB/account risk including competitive analysis, broker behavior, network cost profile, legislative and regulatory impacts, payer goals and contributions. Build reports and provide analysis that provide clear, actionable information to clients and/or the organization. Obtain adequate peer review of own work, and provide review for the work of others.
  • Basic Qualifications:
    Experience
  • Minimum two (2) years of related business/finance experience.
  • Education
  • Bachelor's degree in Business Administration, Finance, Mathematics, Actuarial Science or related degree OR four (4) years of directly related experience.
  • High School Diploma OR General Education Development (GED) required.
  • License, Certification, Registration
  • N/A

  • Additional Requirements:
  • Demonstrated understanding of insurance principles.
  • Demonstrated working knowledge and skills in financial modeling.
  • Familiarity of financial transaction flow within operational and financial systems.
  • Proficient in Microsoft Office applications.
  • Good verbal, written and presentation communication skills.
  • Proven analytical ability.
  • Excellent customer service and organizational skills.
  • Ability to identify and solve problems.

  • Preferred Qualifications:
  • Three (3) years of related business/finance experience.
  • Bachelor's degree in Business Administration, Finance, Mathematics, Actuarial Science or related fields.
  • Primary Location: Washington,Renton,Renton Administration - Baker 1300 SW 27th St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Rri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Insurance / Claims Department: Underwriting 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.

    About Insurance & Claims Careers

    Careers in Insurance & Claims

    Our insurance and claims teams are committed to meeting customer and member expectations when it comes to the timely and accurate processing of claims, while remaining in compliance with federal, state, and local laws, as well as regulations and rules. Make an impact as you contribute to the implementation of contemporary technology in areas such as claims quality, claims operations, business analysis, processing, configuration, reporting, and more.

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