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Blue Cross Blue Shield of Michigan Senior Rating and Underwriting Analyst in Detroit, Michigan

Description

Evaluate and assess risks to safeguard the financial assets of the company. Supervise departmental employees as assigned. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Understand, protect and educate on the financial health of the company by making sound business recommendations and making policy exceptions when appropriate.

  • Calculate renewal rates using appropriate rating formulas and procedures and analyze projected financial impacts. Validate that the final renewal rates and associated packaging is correct and ensure quality in rate releases.

  • Explain the components of rate changes to internal and external stakeholders (sales, agents, consultants and employer groups).

  • Prepare documents for and facilitate discussions on executive rate reviews involving multiple levels of internal leadership and impacted business segments.

  • Create quotes for prospective & existing customers using demographic characteristics and/or claims experience. Analyze participation levels, contribution methodology, industry classification and other carrier information available. Apply knowledge of national and local competitive information to rating decisions. Facilitate the negotiation of final rates and or applicable administrative costs with enrolled and prospective customers.

  • Provide consultative analysis related to how BCBSM/BCN products and discounts add value. Attend and contribute to meetings with internal and external stakeholders.

  • Represent department and/or division as a Subject Matter Expert for various technical/system/training issues on cross functional workgroups. Communicate updates to leadership and recommend approaches for implementing change.

  • Provide training and mentoring to other members of the Rating and Underwriting department including: review and approval of case work, systems, department processes, implementation of new policies and procedures and assisting with departmental planning activities.

  • Rotate among multiple underwriting departments to address critical ad-hoc projects and business needs.

  • Ability to analyze financial data, draw valid conclusions, suggest reasonable solutions and prepare summary reports required.

  • Strong understanding of mathematics principals and their practical applications required.

  • Working knowledge of rating formulas, self-funded and alternative financial arrangements, and the systems and mainframe applications required.

  • Strong verbal and written and relationship management skills required.

  • Good organizational and time management skills with an ability to handle multiple tasks.

  • Knowledge of actuarial and group insurance principles, health care benefits and claims processing procedures.

  • Ability to function independently under minimal supervision adjusting effectively to changes in work and keeping an open mind to new and better ways of accomplishing results.

Qualifications
  • Bachelor’s Degree with a major in Finance, Accounting, Business Administration, Economics, Mathematics, Statistics or related field required.

  • Masters Degree preferred.

  • Four (4) or more years in an underwriting, actuarial or data analytical position required.

  • Knowledge of Microsoft Excel, Word and PowerPoint required.MS Access & Visual Basic preferred.

  • Knowledge of sales distribution channel required.

  • Knowledge of Federal and State laws and regulations related to health care delivery systems (HMO, PPO, ACO, etc.) required.

Job: Underwriting

Primary Location: Detroit

Organization: Underwriting & Actuarial Trend-1122

Schedule: Full-time

Req ID: VP0002B

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