Group Underwriting Consultant - Anthem Balanced Funding

About the position Group Underwriting Consultant – Anthem Balanced Funding Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Group Underwriting Consultant - Anthem Balanced Funding - will be responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex Level Funding group cases. The position is a technical underwriting expert. How you will make an impact: Calculating renewal rates for large complex Level Funding cases based on thorough analysis of experience, location, demographics, etc. Determines and provides guidance to medical underwriters concerning the risk of selecting applicants applying for individual health coverage. Coordinates with other departments to ensure accuracy and consistency of overall account reporting. Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates. Performs post-sale reviews. Prepares or supervises preparation of annual settlements, ERISA reports, rate projections, or benefit change increments and decrements. Surveys existing product portfolios by market, monitors sales results, trends and needs, recommends product portfolio changes. Assist in establishing rating and administrative procedures. Participates in major multi-functional teams as underwriting representatives. Assists in the technical development of underwriting associates, which may include monitoring reports and workflow to provide recommendations on productivity and efficiency improvements. Updates and monitors departmental processes and procedures in compliance with system, regulatory and business requirements.

Responsibilities

• Calculating renewal rates for large complex Level Funding cases based on thorough analysis of experience, location, demographics, etc.
• Determines and provides guidance to medical underwriters concerning the risk of selecting applicants applying for individual health coverage.
• Coordinates with other departments to ensure accuracy and consistency of overall account reporting.
• Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates.
• Performs post-sale reviews.
• Prepares or supervises preparation of annual settlements, ERISA reports, rate projections, or benefit change increments and decrements.
• Surveys existing product portfolios by market, monitors sales results, trends and needs, recommends product portfolio changes.
• Assist in establishing rating and administrative procedures.
• Participates in major multi-functional teams as underwriting representatives.
• Assists in the technical development of underwriting associates, which may include monitoring reports and workflow to provide recommendations on productivity and efficiency improvements.
• Updates and monitors departmental processes and procedures in compliance with system, regulatory and business requirements.

Requirements

• Requires a BA/BS in a related field
• Minimum 5 years of related experience
• or any combination of education and experience, which would provide an equivalent background.

Nice-to-haves

• Level-funded plan expertise: Experience with level-funded health plans, including how they’re priced, underwritten, and renewed, preferred.
• Progress toward or completion of relevant designations/certifications (e.g., CPCU, CLU, LOMA, HIAA, or similar), preferred.
• Ability to clearly explain pricing/risk decisions and negotiate effectively with Sales and internal stakeholders, preferred.
• Make consistent decisions within guidelines and escalate issues appropriately, preferred.
• Manages deadlines, partners cross-functionally, and ensures accuracy in data and reporting, preferred.
• Demonstrated openness to coaching and mentoring Senior Analyst and junior-level associates, preferred.

Benefits

• Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

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