A Medical Underwriter uses medical and health information to evaluate an application for medical malpractice insurance or for health insurance. Medical malpractice insurance is essentially medical professional liability insurance for medical professionals. For health insurance, the underwriter reviews insurance documents to determine whether an offer of health insurance should be made, identifies and excludes pre-existing medical conditions, determine insurance types and limits, and calculate premium costs.
Underwriting Specialist (Temporary Assignment) Medical Mutual of Ohio - 3.8 Cleveland, OH Job Details Part-time 2 hours ago Benefits Dental insurance Vision insurance Qualifications Customer communication Copy machines Basic math Health insurance policy knowledge Regulatory compliance Insurance regulation Productivity software Full Job Description Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Job Summary:
The temporary Underwriting Specialist supports health insurance sales and underwriting teams with administration of new and existing accounts in one or more of the following assigned market segments: large or small group, individual, government programs. This position is located in Brooklyn, OH, Mon, Wed, and Thursday onsite, Tue & Fri remote.
Responsibilities:
Based on market segment assignment: Reviews and processes new group and benefit changes in accordance with departmental policies and procedures. Ensures accurate coding of account worksheets and other documents in order to reflect proper rates and terms as well as compliance with underwriting regulatory requirements/laws. and/or Reviews and processes new submissions for all channels within the Small Group Market Segments, ACA Individual, Medicare Supplement and Short-Term Individual policies for completeness and compliance with underwriting regulatory requirements/laws, if applicable. Responds to underwriting and administrative email and telephone inquiries. Handles workflow distribution involving multiple departments and mailboxes per established procedures. Establishes and maintains work logs and records needed for management reporting. Performs other duties as assigned.
Qualifications:
Education and Experience:
Associate Degree in Business or Healthcare Administration or related field or equivalent combination of experience, training, and education. 3 -5+ years health plan sales or operations experience or equivalent customer service or office support experience in health care or financial services.
Technical Skills and Knowledge:
Knowledge of standard office procedures and equipment operation (multi-function copier, multi-line phone, etc.) Intermediate Microsoft Office (Word, Excel) and general database management/reporting skills. Knowledge of health insurance products and underwriting operations. Basic knowledge of general health plan regulations. Good math skills. Good customer service skills #LI-JT1 - Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
