Anthem, Inc.

Group U/W Consultant Sr

Posted on: 8 Jul 2022

Indianapolis, IN

Job Description

Description

Build the Possibilities. Make an Extraordinary Impact.

The Group Underwriter Consultant Sr is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases. Position is the most senior technical underwriting expert.

How You Will Make an Impact:

Calculates renewal rates for large complex cases based on thorough analysis of experience, location, demographics, etc.
Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for individual health coverage.
Coordinates with other departments to ensure accuracy and consistency of overall account reporting.
Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates.
Performs post-sale reviews. Prepares or supervises preparation of annual settlements, ERISA reports, rate projections, or benefit change increments and decrements.
Surveys existing product portfolios by market, monitors sales results, trends and needs, recommends product portfolio changes.
Assists in establishing rating and administrative procedures.
Participates in major multi-functional teams as underwriting representative.
Assists in the technical development of underwriting associates, which may include monitoring reports and work flow to provide recommendations on productivity and efficiency improvements.
Updates and monitors departmental processes and procedures in compliance with system, regulatory and business requirements.

Minimum Requirements:

Requires a BA/BS in a related field; 7 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses preferred.

Anthem, Inc.

Indianapolis, IN

Anthem, Inc., through its subsidiaries, operates as a health benefits company in the United States. It operates through three segments: Commercial & Specialty Business, Government Business, and Other. The company offers a spectrum of network-based managed care health benefit plans to large and small group, individual, Medicaid, and Medicare markets. Its managed care plans include preferred provider organizations; health maintenance organizations; point-of-service plans; traditional indemnity plans and other hybrid plans, such as consumer-driven health plans; and hospital only and limited benefit products.

The company also provides a range of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs, and other administrative services. In addition, it offers an array of specialty and other insurance products and services, such as dental, vision, life and disability insurance benefits, radiology benefit management, and analytics-driven personal health care guidance; and Medicare administrative services.

Further, the company provides services to the federal government in connection with the Federal Employee Program; and operates as a licensee of the Blue Cross and Blue Shield Association. As of December 31, 2018, it served 40 million medical members through its affiliated health plans. The company was formerly known as WellPoint, Inc. and changed its name to Anthem, Inc. in December 2014. Anthem, Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.

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