Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!
Learn more about our unique benefit offerings here.
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Translate and interpret large group claim information, competitor data analysis, prognosis and clinical data to determine the most appropriate premium for the large group customers. Deliver an integrated renewal package and provide consultative expertise to our large group sales staff and external stakeholders, including brokers, groups and consultants. Participate in process initiatives and/or projects that offer continuous improvement to both our internal and external stakeholders by focusing on the customer and understanding the business to support financial initiatives, corporate goals and strategies.
Required:
a. Translate and interpret financial and medical data from a wide variety of sources and formats including competitor information to compile, categorize and summarize information such as trends and costs utilizations, loss ratios, risk assessments, industry variations.
b. Use statistical, economic and financial data to perform standard financial risk analysis based on specific underwriting guidelines, principles and procedures to set premiums for multiple funding arrangement options. Information evaluated includes trends, claims experience, ongoing large claimant information including diagnosis and prognosis, group size and location information and the demographic make-up of a group based on age, gender and type of contact.
c. Apply independent decision making skills based on mixture of expertise, analysis and experience on variety of issues and requests including rating decisions. Decisions include identifying when appropriate escalation is needed and providing consultative recommendations for senior or leadership level direction/approval.
d. Use multitude of complex systems from various internal areas to obtain and organize data while using department rating systems to evaluate current performance and project future trends of a group. Demonstrate high level of communication skills to document rating decisions with detailed rationale.
e. Represent Wellmark and Underwriting through the support of the Sales areas in their interactions with external customers. (accompanied by leadership or senior level). This includes participating in various communication opportunities on a ongoing or ad-hoc basis. Serve as an department interface with both internal and external stakeholders and work to build and maintain constructive and cooperative relationships based on trust.
f. Build and maintain general understanding of insurance industry, market segments and operations in order to evaluate group and benefit requests to ensure compliance with federal, state, corporate, and department laws, regulations, and guidelines. Work to create internal control mechanisms.
g. Participate and serve as subject matter expert on inter-department or on cross-divisional teams on complex projects relating directly or indirectly to underwriting process, procedures, and/or guidelines. Support projects in order to meet deadlines and deliver desired results.
h. Actively participate in corporate process improvement initiatives and activities aimed at reducing cost, improving timeliness and accuracy while enhancing the overall customer experience. Develop, update, and maintain documentation on key processes and department guidelines.
i. Manage multitude of daily desk responsibilities, monthly department duties and project deliverables to meet deadlines. Balance high priority requests with short turnaround timeframes to meet requests of ever changing needs of our groups.
j. Other duties assigned.
An Equal Opportunity Employer
The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected]
Please inform us if you meet the definition of a "Covered DoD official".
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Are you ready to take your career to the next level as an Underwriter - Large Group with Wellmark? Situated in the beautiful city of Des Moines, IA, this role is perfect for those who are passionate about the well-being of their community. At Wellmark, we pride ourselves on our long-standing reputation of over 80 years, built on trust and a commitment to our members. As the Underwriter, you’ll be at the heart of determining appropriate premiums for our large group customers by analyzing claims data, competitor information, and other relevant details. You’ll collaborate closely with our sales team and external stakeholders, offering them consultative expertise that fosters strong relationships. Your insights will not only support financial initiatives but also enhance overall customer experiences. In this vibrant and dynamic environment, you’ll leverage your analytical skills to interpret complex data and present your findings clearly and effectively. Your ability to work both independently and within a team will help you meet department goals while actively participating in improvement initiatives that streamline our processes. If you meet our qualifications—including a bachelor’s degree or relevant work experience and analytical skills—this could be an incredible opportunity for you. Let’s make a difference in our communities together and bring your expertise to Wellmark today!
Wellmark, headquartered in Des Moines, Iowa, and established in 1939, is a health insurance company specializing in individual and family health insurance plans.
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