Elevance Health - Miami, FL
posted 5 months ago
The Group Underwriter Consultant Sr. at Elevance Health plays a pivotal role in the evaluation and determination of insurance risks and the establishment of appropriate premium rates for large and complex group cases. This position is recognized as the most senior technical underwriting expert within the organization, responsible for ensuring that the underwriting process aligns with the company's standards and regulatory requirements. The role supports a hybrid workplace model, allowing for both virtual and in-office collaboration, with a requirement for candidates to reside within a 50-mile radius of an Elevance Health location. In this position, the consultant will engage in a variety of critical tasks that include calculating renewal rates for large complex cases. This involves a thorough analysis of various factors such as experience, location, and demographics to ensure accurate premium assessments. The consultant will also provide guidance to medical underwriters regarding the risk selection of applicants seeking individual health coverage, ensuring that all underwriting decisions are well-informed and strategically sound. Collaboration is key in this role, as the consultant will coordinate with other departments to maintain accuracy and consistency in overall account reporting. They will propose rates for prospective business by leveraging a combination of carrier experience, demographic data, and manual rates, ensuring that the company remains competitive in the market. Additionally, the consultant will perform post-sale reviews and prepare or supervise the preparation of essential documents such as annual settlements, ERISA reports, and rate projections. The consultant will also be responsible for surveying existing product portfolios by market, monitoring sales results, trends, and needs, and recommending necessary changes to the product portfolio. They will assist in establishing rating and administrative procedures and participate in major multi-functional teams as the underwriting representative. Furthermore, the consultant will play a crucial role in the technical development of underwriting associates, providing insights and recommendations on productivity and efficiency improvements based on monitoring reports and workflow. Finally, the consultant will update and monitor departmental processes and procedures to ensure compliance with system, regulatory, and business requirements, thereby maintaining the integrity and effectiveness of the underwriting function within Elevance Health.