Supervisor, Underwriting

This is a fully remote position, open to applicants in Kansas, +1 more state.

📋 Description

• Oversee the daily operations of the Enrollment Risk department.

• Ensure adherence to underwriting eligibility and participation standards for both group and individual business.

• Evaluate and authorize risk assessments, documentation, follow-up, and underwriting choices.

• Collaborate with Sales, Rating, Actuarial, and Membership teams to clarify decisions and communicate eligibility methodologies.

• Supervise the testing and development of system upgrades, enhancements, and improvements in the underwriting process.

• Manage both external and internal communications concerning risk evaluations, eligibility, and underwriting decisions.

• Provide training and continuous education to Underwriting personnel, Sales, and other departments.

• Stay updated on federal and state underwriting regulations, including HIPAA and ACA.

• Create and implement strategies for workload management.

• Conduct quality control audits on underwriting decisions and risk evaluations.

• Offer leadership to Underwriting personnel and support business growth while ensuring financial stability.

⛳️ Requirements

• A high school diploma or equivalent is mandatory.

• A bachelor's degree is preferred.

• At least 5 years of experience in underwriting, group rating, actuarial, or risk adjustment, with a focus on eligibility, enrollment, and risk evaluation within the health insurance sector.

• Candidates must either reside in Kansas or Missouri or be willing to relocate as a condition of employment.

• Comprehensive understanding of underwriting principles, eligibility criteria, and risk assessment techniques.

• Familiarity with medical terminology and the ability to interpret health conditions relevant to underwriting decisions.

• Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and underwriting software.

• Strong written and verbal communication capabilities.

• Excellent problem-solving and decision-making skills.

• Capability to manage multiple priorities, meet deadlines, and work effectively in a collaborative environment.

• Robust leadership and coaching skills, along with experience in employee development and training.

• Understanding of federal and state regulations affecting underwriting and enrollment, including ACA, HIPAA, and ERISA.

• Preferred qualifications include LPN, Certified Nurses Aide, or Certified Medical Aide, and/or experience in coding medical records using ICD-9 or ICD-10 methodologies.

• Prior experience in leadership, supervision, and training is preferred.

• Background in medical underwriting, insurance products, regulatory compliance, and training and onboarding for underwriting teams is advantageous.

• Completion of pre-employment drug screening, criminal background check, employment verifications, and education verification is required as part of a conditional offer.

🏝️ Benefits

• Paid vacation and sick leave.

• Paid maternity and paternity leave available immediately upon hire.

• Incentive pay program (EPIP).

• Health, vision, and dental insurance.

• Six weeks of paid parental leave for new mothers and fathers.

• Fertility and adoption assistance.

• Two weeks of paid caregiver leave.

• 401(k) plan with matching contributions up to 5%.

• Tuition reimbursement.

• Health and fitness benefits, discounts, and resources.

• Options for remote, hybrid, or onsite work in accordance with the Telecommuting Policy.