Posted June 10, 2008 Underwriter, Consulting
Health Net, Inc. (NYSE: HNT) is among the nation’s largest publicly traded managed health care companies. Health Net’s mission is to help people be healthy, secure and comfortable. The company’s POS, HMO, insured PPO, behavioral health and government contracts subsidiaries provide health benefits to more than 7 million individuals. For more information on Health Net, Inc., please visit the company’s Web site at www.healthnet.com
JOB SUMMARY:
Under minimal supervision, the Consulting Underwriter serves as an expert consultant on matters pertaining to underwriting, rate development and all other financial considerations. The Consulting Underwriter’s responsibilities encompass all functions performed at the senior underwriter level, with an emphasis on a more complex and challenging account assignment as follows: provides underwriting services to group clients to determine premium rates for employer groups and ensures these groups remain on a profitable basis. Included is the ability to generate community rates, experience adjusted community rates and pure experience rates for their assigned book of business, including the largest and most prestigious customers.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Schedules, monitors and controls all renewal activity for assigned book of business.
- Gathers and examines appropriate documentation and data required to calculate and produce a rate renewal package including running IRMA reports and queries and/or Flex Funding/ASO renewals.
- Gathers and examines appropriate documentation and data necessary to develop premium rate and Flex Funding/ASO proposals, including the evaluation of other carrier claims experience and appropriate blending with community rates.
- Prepares underwriting of premium rate and Flex Funding/ASO proposals.
- Prepares initial underwriting and renewal rates for all HIS products, employing underwriting judgment and ensuring compliance with underwriting regulations and current rate filings.
- Writes internal management summaries for case review and/or appeals.
- Constructs final renewal rate packages and reports financial findings to the Sales Department in a precise and easily understandable format.
- Writes letters and reports, explaining renewals and detailed technical issues to both customers and other departments while acting as the financial arm of the Renewal/Sales team.
- In this regard, works closely, on a proactive basis, with Sales to develop renewal and proposal strategies for large groups, explain renewals, obtain information, and participate with team building.
- Maintains appropriate documentation and special reports as required.
- Maintains underwriting files in Health Net’s nationally accepted format.
- Provides integral support to Sales in client presentations, negotiation and sale of renewals and new business proposals.
- Participates in special projects within the Underwriting Department or on cross-departmental teams as required to respond to customer issues, legislation, and/or product development.
- Consults with other departments such as Actuarial, Legal and Product Development, and participates in project meetings with other departments as required.
- Provides assistance and counsel to underwriters and develops and provides general and specific training as required for account executives and account managers.
- Proactively works with customers in a consultative fashion to identify, develop and deliver value-added underwriting services.
- Makes independent renewal decisions in accordance with underwriting authority limit guidelines and performs in the peer review function for associate underwriters, underwriters, and senior underwriters.
REQUIREMENTS:
Education:
Bachelor’s degree from an accredited four-year institution.
Certification/License:
.
Experience:
- Minimum four years related experience and/or training, with one to two years as a Senior Underwriter or Benefits Consultant preferred.
- Experience working with PCs is required, including experience in a Microsoft Windows environment with applications such as Word and Excel; other system knowledge is beneficial.
Knowledge, Skills & Abilities:
- Ability to read, analyze and interpret general business periodicals, technical procedures or government regulations.
- Ability to write routine reports, business correspondence and procedure manuals.
- Ability to effectively present information and respond to questions in one-on-one or small group situations with customers, Sales, underwriting management and other employees of the organization.
- In-depth knowledge of mathematical applications used in underwriting function is required, including the ability to calculate figures such as discounts, compound interest, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems.
- Knowledge of actuarial derivation of underwriting applications is preferred.
- Ability to use IBM PC to run rating/pricing programs and create complex and ad hoc documents using word processing, spreadsheet, or database software.
- Ability to interpret a variety of instructions furnished in oral, written, diagram, or schedule form.
- Ability to define problems, collect data, establish facts and draw valid conclusions in most standardized situations with several abstract and concrete variables.
- Ability to work independently on activities governed by general organizational rules and procedures, and work with established timeframes.
- Ability to provide creative solutions to new situations caused by marketplace, merger, medical patterns, etc.
OR
Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.
Health Net, Inc. supports a drug-free work environment and requires pre-employment background and drug screening.
Health Net and its subsidiaries are an Equal opportunity/Affirmative Action Employer M/F/V/D.
http://www.careersathealthnet.com
Please contact
Curtis Geroy
Sr. Staffing Consultant
Health Net
Ph. 916-935-1185
Fax 916-935-4405
Curtis.M.Geroy@healthnet.com
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