Allied National · 1 month ago
Underwriter III
Allied National is seeking an experienced Medical Underwriter to join our Underwriting Department. The role involves evaluating medical risks and underwriting new business while ensuring effective communication with Account Executives and customers.
ConsultingHealth CareInsurance
Responsibilities
Utilizing medical expertise in the overall risk evaluation and rate recommendation is essential for this position
Must be proficient in all functions in Levels 1, 2 & 3 in accordance with department quality and quantity production standards
Underwrite New Business according to parameter guidelines and determine eligibility of a group for health insurance based upon a review of all eligibility information that has been obtained
Review Medical Load Report prepared by level 2, and evaluate appropriate medical risk
Review Participation Worksheet and Group Eligibility prepared by level 2
Review Current Carrier Bills and Renewal Rates and compare to census presented and Allied generated rates
Conduct employer phone call and as needed contact individual applicants for additional health information and or clarification
Create Self-Funded Accounts in AI
Review monthly manual dental renewals, populate spreadsheet with rating recommendations to be approved by underwriting management
Qualification
Required
High School graduate or equivalent
One to two years related work experience or equivalent college education
Certification in Medical Terminology I and II
Ability to comprehend and interpret information directly from product brochures, certificates and insurance contracts
Basic mathematics skills
Minimum 4 years of office experience or equivalent college education
Knowledge and understanding of medical terminology
Very strong knowledge and understanding of medical terminology
Preferred
Minimum 3 years experience in the insurance industry, including 1-2 years experience in group and individual medical underwriting preferred, or equivalent medical background