Health Insurance Underwriter - Remote

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market-driven rates. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
At Capital Blue Cross, we promise to go the extra mile for our team and our community. This position is responsible for the generation of rate proposals for new business and renewal cases for all medical, pharmacy and ancillary products sold by Capital Blue Cross and subsidiary companies. pricing of alternate benefit sets using actuarial based pricing models, assessment of dental and vision utilization, evaluation of large claimant impacts, and consultation and interaction with cross functional areas such as Actuarial, Sales, Clinical and IT&D.
This position functions as a consultant by providing advice to Sales and Account Executives, presenting information to groups and brokers, and providing department management with opinions of the financial consequences of existing or proposed insurance arrangements. Mathematical, financial and analytical skills are utilized to research data, develop projections and formulate appropriate proposals and recommendations to achieve business objectives.
The position is also responsible for approving the financial contract pages for renewing groups.
Prepares rate quotations for prospect groups, rate renewals, and benefit change quotes for current groups and ancillary coverage quotes based on Capital Blue Cross underwriting and rating requirements and policies.
Presents rate exceptions with appropriate analysis and recommendations for action to management for review and approval.
Supports Sales in justifying prospect and renewal calculations through the creation of various exhibits and analyses.
Designs, modifies and programs minor applications on the microcomputer that apply to rating structures and actuarial analyses used by the Plan, generally under the direction of the Senior Underwriter or Team Lead.
Reviews and approves financial contract language for sold and renewing groups.
Underwriter, Team Lead and department management on account calls to present renewals, and rate quotations.
Provides training, guidance and peer review of assignments to Underwriter I team members.
Ability to quickly abstract an insurance mechanism or financial arrangement into its theoretical mathematical structure and determine the financial consequences of the arrangement.
Ability to communicate technical issues both verbally and in writing to department management staff.
Written and verbal communication skills along with subject matter expertise are used to support a consultative approach directed at understanding and meeting customer needs.
Knowledge of applications and software used in the rating process.
Knowledge of Capital Blue Cross rating policies and procedures.
Familiar with the theoretical structure of insurance mechanisms and how to model these structures mathematically, also knowledge of the formulae currently used by Capital Blue Cross in rating, underwriting, and reserving processes.
Familiar with Capital Blue Cross organizational structures and operations.
2 years’ underwriting and/or risk management experience.

Bachelor's degree in mathematics, finance, economics, statistics, accounting or a related field.

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law. (
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Workplace Remote
Employment Type Full Time