Health Insurance Underwriter

• Jan 2022 - Present

Apply sound, creative underwriting and business judgment in the timely analysis and evaluation of group health applications. Develop and maintain an effective working relationship with Justworks' designated health insurance carrier(s). Evaluate carrier business rules to ensure compliance Audit underwriting files periodically for accuracy and appropriate documentation Apply sound, creative underwriting and business judgment in the timely analysis and evaluation of group health applications. Develop and maintain an effective working relationship with Justworks' designated health insurance carrier(s). Evaluate carrier business rules to ensure compliance Audit underwriting files periodically for accuracy and appropriate documentation

Medical Underwriter

• Oct 2020 - Nov 2021

[Contract role worked from 10/2020 to 01/2021 & 08/2021 to 11/2021] Evaluate enrollment applications, pharmacy data, claim history, and review medical records. Request additional medical information when needed, and accurately apply medical underwriting guidelines to determine plan eligibility and premium rates for Medicare Supplement plans. [Contract role worked from 10/2020 to 01/2021 & 08/2021 to 11/2021] Evaluate enrollment applications, pharmacy data, claim history, and review medical records. Request additional medical information when needed, and accurately apply medical underwriting guidelines to determine plan eligibility and premium rates for Medicare Supplement plans.

Insurance Contract Analyst

• Jul 2020 - Sep 2020

Responsible for inputting agency information into company systems which will drive agency appointments in support of a large project. Under limited supervision, perform advanced level technical insurance duties that require special knowledge to process agency appointment, support requests, and contract administration. Performs other technical and administrative duties as required to facilitate the efficient operations of the project scope and department. Responsible for inputting agency information into company systems which will drive agency appointments in support of a large project. Under limited supervision, perform advanced level technical insurance duties that require special knowledge to process agency appointment, support requests, and contract administration. Performs other technical and administrative duties as required to facilitate the efficient operations of the project scope and department.

Financial Underwriting Representative 3

• May 2020 - Jul 2020

Underwriting Consultant

• Jan 2020 - Mar 2020

•Provide health and benefits insurance underwriting, technical and sales support services for the Oasis Professional Employer Organization (PEO). •Facilitates sales submission and quotation process associated with the PEO health insurance sales initiatives. •Assesses degree of risk and exposure to individual client health insurance claims within the context of the PEO Group Health Insurance program. •Make selection and rejection decisions on prospective PEO health insurance clients. •Interacts with PEO Sales organizations to assure compliance with insurance carrier underwriting and group eligibility requirements. Show less

Spec II Group Underwriter

• Feb 2016 - Sep 2019

Group Rater

• Oct 2015 - Dec 2015

• Manages the daily inventory submitted to the Group Rating Mailbox • Generate new group proposals and renewal alternates for the state within allocated timeframes • Send generated proposals to internal and external sales partners via email • Support the Group Renewal Unit with administrative activities related to retention of group business for all product lines • Manages the daily inventory submitted to the Group Rating Mailbox • Generate new group proposals and renewal alternates for the state within allocated timeframes • Send generated proposals to internal and external sales partners via email • Support the Group Renewal Unit with administrative activities related to retention of group business for all product lines

Small Group Underwriting Analyst

• Jun 2014 - Sep 2015

· Independently uses client tools to underwrite rates for small groups. · Ensure compliance requirements are accurately met in order to minimize errors. · Applies good analytical skills relative to assigned function. · Demonstrates efficient use of personal and company resources in support of customer deadlines. · Maintains a strong team environment by encouraging and demonstrating open communications. · Independently uses client tools to underwrite rates for small groups. · Ensure compliance requirements are accurately met in order to minimize errors. · Applies good analytical skills relative to assigned function. · Demonstrates efficient use of personal and company resources in support of customer deadlines. · Maintains a strong team environment by encouraging and demonstrating open communications.

P&C Insurance Service Associate

• Jan 2015 - Apr 2015

· Assist office with client calls regarding property insurance needs, both inbound and outbound · Answers questions from clients regarding; - coverage's, availability, rates & eligibility · Provide sales quotes to prospective clients · Provide daily follow up to leads quoted · Able to handle multiple tasks in a fast paced environment · Assist office with client calls regarding property insurance needs, both inbound and outbound · Answers questions from clients regarding; - coverage's, availability, rates & eligibility · Provide sales quotes to prospective clients · Provide daily follow up to leads quoted · Able to handle multiple tasks in a fast paced environment

Data Processor

• Nov 2014 - Jan 2015

• Accurately process and enter routine, non-complex policy information for the product line assigned to an online system from source documents for multiple states. • Maintain an acceptable error percentage and production level per the assigned product line. • Demonstrated keyboarding skills. • Demonstrated interpersonal skills. • Demonstrated ability to read and comprehend simple written or verbal instructions, short correspondence and memos • Accurately process and enter routine, non-complex policy information for the product line assigned to an online system from source documents for multiple states. • Maintain an acceptable error percentage and production level per the assigned product line. • Demonstrated keyboarding skills. • Demonstrated interpersonal skills. • Demonstrated ability to read and comprehend simple written or verbal instructions, short correspondence and memos

Small Group Medical Underwriter

• Mar 2011 - Mar 2014

Contracted via Incepture • Independently evaluates and underwrites small group health insurance applications. • Determines substandard risks up to assigned approval limits. • Contacts field sales force and medical consultants concerning questionable medical or personal situations. • Evaluates groups’ medical history, demographics, and other information to determine risk classification. • Effectively communicates adverse findings to field sales force and supports underwriting causes of action. • Acts on reinstatement cases or changes to existing policies. • Reviews variable health insurance applications for appropriate risk suitability and ensures proper compliance with State and Federal mandates and BCBSF group underwriting guidelines. • Works to meet or exceed established quality, customer satisfaction, time, service, and productivity goals. • Performs policy issue responsibilities that meet compliance and suitability regulations and result in accurately issued policies. • Other duties as assigned or required. Show less