Underwriting I

Portland, Oregon

Cambia Health Solutions, Inc
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Underwriting I, II, III or Senior

Work Remotely from Oregon, Washington, Idaho or Utah




Primary Job Purpose


Underwriter I, II, III & Senior evaluates each assigned group's risk and attaches the appropriate rate.

General Functions and Outcomes

Underwriter I (Entry Level)

  • Approves renewal changes after verifying rates and product selection.

  • Audits both new and renewing groups as necessary.

  • Determines rates for alternative benefit variations.

  • Ensures that group participation requirements are met.

  • Prepare rate filings.

  • Follows underwriting guidelines, policies, procedures and formulas in developing rates for new and renewal groups.

  • Gathers the appropriate data used to determine the status of account refunds.

  • Maintains spreadsheet information on group renewal history.

  • Prepares memos and other correspondence to communicate changes in rates or benefits which have been approved by underwriting management.

  • Processes the appropriate paperwork associated with renewal rate action and proposal closing.

  • Supports internal sales staff regarding underwriting questions and/or resolves issues.

  • Effectively communicates Underwriting decisions to other departments when necessary.


Underwriter II - In addition to the Functions and Outcomes Listed above for the UW I, the UW II, III & Senior

  • May determine rates for alternative benefit variations and funding arrangements.

  • Assist in the training process and mentoring of more junior level Underwriters.

  • Prepares contingent premium settlements.

  • Prepares the rate quotations and completes bid specifications.

  • Processes group financial settlement calculations.

  • Reviews and determines whether or not to grant exception requests.

  • Supports management reporting efforts and the development of automated rating and analysis tools.


Underwriter III - In addition to the Functions and Outcomes Listed above for UW I & II, the III & Senior

  • May determine rates for alternative benefit variations and more complex funding arrangements.

  • Actively involved in the preparation and maintenance of underwriting guidelines and rating policy.

  • Actively involved with testing new rating, underwriting and front end systems.

  • Answers questions regarding the basic factors used in developing rates, (group size, type of benefits, age/gender composition, large claims, experience provided from the prior carrier, current rates).

  • Answers questions regarding the rate model and how it impacts rates in accordance with particular group demographic changes.

  • Assesses health risk in a group environment (performs large claim analysis for ongoing claim cost).

  • Develops prospective and renewal rates for group accounts in accordance with corporate and underwriting guidelines.

  • Reviews and determines whether or not to grant exceptions to underwriting policy.

  • Ensures the proper administration of underwriting and legislative guidelines for new and renewing groups.

  • Handles large volume production with account specific issues (I.e. reinstatements, eligibility standards, group identification criteria, etc)

  • Maintains a working knowledge of State and Federal regulations affecting group rating.

  • Prepares rate breakouts and hierarchy definitions for group setups.

  • Reviews and directs the preparation of experience reports for fiscal, ERISA and contingent premium settlements.

  • May meet with external customers, brokers or account representatives to review underwriting calculations and provide explanations for rating principles.

  • May prepare written summaries of recommendations and/or conditions of coverage for the group after completion of each analysis.

  • May prepare an explanation of the past rating history, documenting benefit and enrollment changes, and providing a recommendation for benefit and financial options.


Underwriter Senior - In addition to the Functions and Outcomes Listed above for UW I, II & III, the UW Senior

  • Contributes to timely and accurate productivity by assisting the Manager in education to new Underwriters.

  • Attends broker meetings, as well as meetings with sales executives, agents and/or groups to provide explanations of rating principles or rationale of rating positions.

  • Contributes to the development of new rating formulas, methodologies and guidelines.

  • Represent underwriting on Cambia workgroups and strategy sessions and serves as department representative where applicable.


Minimum Requirements

Underwriter I

  • Demonstrated analytical and problem solving skills.

  • Business sense including: finance, accounting, economics, and risk management principles.

  • Effective verbal and written communications.

  • Ability to build and maintain positive internal and external customer interactions.

  • Ability to prioritize tasks and meet deadlines.

  • Demonstrated technology proficiency, including Excel, Word, and applicable software applications.


Underwriter II - In addition to the Minimum Requirements listed above for the UW I, UW II, III & Senior will have

  • Demonstrated success with managing competing priorities and workload.


Underwriter III - In addition to the Minimum Requirements listed above for the UW I & II, the UW III & Senior will have

  • Demonstrated proficiency working with complex computer software systems and automation.

  • Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity and/or understanding.


Underwriter Senior - In addition to the Minimum Requirements listed above for the UW I , II & III, the UW Senior will have

  • Proven understanding of business, including: finance, accounting, economics, and risk management.

  • Demonstrated attainment of a high level of independent, consistent performance.

  • Ability to organize, plan, prioritize and complete complex assignments with little or no supervision.

  • Demonstrated ability to read the marketplace and competitive environment.




Normally to be proficient in the competencies listed above

The Underwriter I would have a Bachelor's degree in business, math, statistics or related discipline or an equivalent combination of education and experience.


The Underwriter II would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 2 years related experience or an equivalent combination of education and experience.


The Underwriter III would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 4 years related experience or an equivalent combination of education and experience.


The Underwriter Senior would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 6 years related experience or an equivalent combination of education and experience.


Date Posted: 12 April 2024
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