Highmark Health - Boston, MA

posted 3 days ago

Full-time
Boston, MA
Insurance Carriers and Related Activities

About the position

The position involves analyzing risk factors for new enrollments, annual renewals, and amendments of group or individual insurance contracts or self-funded plans, ensuring compliance with established underwriting policies and standards. The role requires managing a block of business, interpreting risk, applying pricing policies, and monitoring compliance with corporate underwriting policies.

Responsibilities

  • Responsible for a block of business (new or renewal) or for those new/renewing accounts assigned.
  • Interpret risk and apply pricing policies to account for unusual situations.
  • Identify questionable claim patterns whether occurring on an inforce account or a prospect.
  • Identify unusual situations not anticipated by standard pricing formulae and seek assistance in applying Corporate Risk Management policies.
  • Monitor compliance with Corporate Underwriting policies.
  • Complete workload within established Production and Timeliness standards.
  • Other duties as assigned.

Requirements

  • Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline.
  • 6 years of related experience in lieu of a Bachelor's Degree.

Nice-to-haves

  • 1 year of relevant insurance industry experience.
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