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Medical Underwriter needed to work for a local health care provider in Minnetonka.
This position is an underwriting position and requires strong analytical and problem solving skills, excellent customer service skills, and the ability to make decisions and exercise sound underwriting judgment.
The Individual Medical Underwriter is expected to evaluate the degree of medical/financial risk involved in providing health insurance to individuals. This is accomplished through the evaluation of the occupational hazards and medical histories of individual applicants.
The position requires strong analytical and problem solving skills, good customer service skills, and the ability to independently make decisions and exercise sound underwriting judgment.
Underwriting decisions directly affect the provider's ability to achieve operating income, membership, and revenue objectives.
The Underwriter needs to maintain an up-to-date knowledge of medical diagnoses, prognoses and treatment patterns as well as medical terminology. Knowledge of product offerings and applicable state and federal laws is required.
The underwriter will need to interact with others within the company, and with potential members applying for coverage with the company.
Must also be able to maintain turn around times within the defined standard for underwriting while meeting or exceeding quality standards.
The Individual Medical Underwriter will use the Lead Underwriter and the Sr. Underwriting team as mentors to consult in applying the Individual UW Guidelines, rate increases, product offerings, etc., as needed.
EDUCATION/EXPERIENCE: Education Level: Bachelor’s Degree preferred (may be substituted with underwriting experience).
Major: Health related or equivalent a plus (nursing, physical or occupational therapy, pharmacology, clinical lab assistant, etc)
Years of experience required: 2 years
Specific types of experience required:
Individual health, life underwriting, or small group medical underwriting required.
Minimum of two years of previous medical underwriting experience is required.
An Underwriter should possess a strong knowledge of current medical conditions, their treatments and costs.
Underwriter will have a strong knowledge and understanding of Health Care Reform rules and regulations and be able to make decisions using policies, procedures, underwriting guidelines, and experience.
Knowledge and comfort level with Excel and Word is a plus
None required; RN or LPN a plus.
Monday through Friday
3 month contract with possibility of long term extension