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UnitedHealth Group Underwriter - Telecommute - CST or EST in Minnesota

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

The Underwriter will develop comparative benefit packages, review claim experience, and apply underwriting guidelines to prepare renewal and/or prospect rates. This individual will support Marketing in completing group experience retention illustrations and address questions on request for proposals. The underwriter will analyze health benefit plan characteristics and assess risks around loss of clients. They will also utilize underwriting criteria and policies to provide proper rating methodologies. This individual will provide technical subject matter expertise to the sales staff and district offices on new health care proposals.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Understand and apply appropriate mathematical formulas (e.g., to determine rates, assess risk, determine financial impact)

  • Assess the impact of benefits changes (e.g., to determine rate, pricing change, plan type)

  • Determine and gather the information required in order to manage and assess risk

  • Interpret claim reports from internal and external sources in order to properly determine rating action

  • Input relevant data into rating tools (e.g., claim projection template; manual tools; expense formula)

  • Provide support to the underwriting process (e.g., create file folders, case assignments)

  • Evaluate customer eligibility based on various criteria (e.g., credit worthiness; size; location; funding; credibility of information)

  • Ensure compliance with relevant processes, procedures, and regulations (e.g., operating within filed pricing and filed rating formulas, state and federal guidelines)

  • Perform financial reconciliations using appropriate tools on alternate funding arrangements, monthly fees, and/or policy year expenses

  • Determine the availability of the plan designs in order to identify whether the product is acceptable to sell per regulations and guidelines (e.g., Product Availability Grid)

  • Analyze pricing recommendation to determine whether recommendation meets profitability standards or goals

  • Apply appropriate rating (e.g., manual; experience; or expense rates) consistent with set guidelines (e.g., state and federal mandates; internal guidelines) and assessed risk (e.g., medical conditions; demographic characteristics) to determine final pricing

  • Seek approval from appropriate level of management for pricing recommendations as needed

  • Compare recommended coverage and pricing with competitive data to maximize competitive advantage while maintaining profitability

  • Maintain knowledge of market trends, competitiveness compared to other carriers, and/or industry changes in order to make effective pricing decisions

  • Demonstrate understanding of relevant systems and software applications (e.g., Word; Excel; pricing tools) used to determine pricing

  • Demonstrate understanding of new products and services in order to provide customers with appropriate solutions

  • Enter and/or verify data to support pricing-related activities

  • Analyze pricing recommendation to determine whether recommendation meets profitability standards or goals

  • Apply appropriate rating (e.g., manual; experience; or expense rates) consistent with set guidelines (e.g., state and federal mandates; internal guidelines) and assessed risk (e.g., medical conditions; demographic characteristics) to determine final pricing

  • Seek approval from appropriate level of management for pricing recommendations as needed

  • Compare recommended coverage and pricing with competitive data to maximize competitive advantage while maintaining profitability

  • Maintain knowledge of market trends, competitiveness compared to other carriers, and/or industry changes in order to make effective pricing decisions

  • Demonstrate understanding of relevant systems and software applications (e.g., Word; Excel; pricing tools) used to determine pricing

  • Demonstrate understanding of new products and services in order to provide customers with appropriate solutions

  • Enter and/or verify data to support pricing-related activities

  • Analyze pricing recommendation to determine whether recommendation meets profitability standards or goals

  • Apply appropriate rating (e.g., manual; experience; or expense rates) consistent with set guidelines (e.g., state and federal mandates; internal guidelines) and assessed risk (e.g., medical conditions; demographic characteristics) to determine final pricing

  • Seek approval from appropriate level of management for pricing recommendations as needed

  • Compare recommended coverage and pricing with competitive data to maximize competitive advantage while maintaining profitability

  • Maintain knowledge of market trends, competitiveness compared to other carriers, and/or industry changes in order to make effective pricing decisions

  • Demonstrate understanding of relevant systems and software applications (e.g., Word; Excel; pricing tools) used to determine pricing

  • Demonstrate understanding of new products and services in order to provide customers with appropriate solutions

  • Enter and/or verify data to support pricing-related activities

  • Seek input from and work collaboratively with different areas (e.g., management; Optum Health; dental; vision; pharmacy; sales; medical; stop-loss) in order to create optimal solution

  • Seek information from relevant stakeholders (e.g., sales representatives; clients) to understand broker and/or customer needs

  • Negotiate with internal and external partners regarding price, contractual terms, and/or guarantees

  • Communicate pricing recommendations, rationale, and impact (e.g., block of business; financial performance) to applicable stakeholder groups (e.g., health plan providers; sales team; brokers; consultants; management; third party administrators; customers)

  • Work with finance and actuarial departments to project future revenues and claims

  • Seek guidance from legal and compliance departments to determine legality of contract stipulations

  • Evaluate process improvement requests (e.g., business processes) from sales partners to determine effectiveness

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Bachelor’s Degree in Math, Finance, Business or related degree

  • Experience utilizing excellent communication skills, both orally and in writing

  • Intermediate level of proficiency with MS Office suite (including Word, Excel and PowerPoint)

Preferred Qualifications:

  • 2+ years of experience in underwriting

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Connecticut Residents Only: The salary range for Connecticut residents is $49,800 to $88,200. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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