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This position is primarily responsible for underwriting activities related to Medicare Supplement and Ancillary Products. The role directs underwriting workflow to support the organization’s financial and strategic objectives and provides underwriting support within risk management to optimize revenue, membership growth, and overall profitability. Leveraging advanced underwriting expertise, the position establishes, monitors, and evaluates key performance metrics for both routine and new business underwriting functions, ensuring operational efficiency, consistency, and alignment with organizational goals.
Job Responsibility:
Coordinates processes and assignments for supervisors and individual contributors to achieve the Underwriting area's goals
Advises team on policies and procedures to ensure compliance and achievement of the organization's goals and objectives for Underwriting
Ensures the completion timely underwriting deliverables, including casework reviews, inquiries, missing information, contractual underwriting review, benefit plan impact, and rate validation
Analyzes trends to inform the development and implementation of medical underwriting procedures, workflows, guidelines, and claim risk criteria
Develops resources for staffing, talent management, training, and development
Supports & participates in quality control reviews of documents, deliverable, and information produced by the Underwriting team
Advises on improvement initiatives to increase productivity, accuracy, and customer service
Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs
Requirements:
2+ years of underwriting experience (Healthcare preferred)
Prior leadership experience
Strong knowledge of underwriting principles, risk management, and compliance requirements
Demonstrated ability to analyze trends and translate insights into operational improvements