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Underwriting Analyst
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Diversified Group Brokerage Corp
Remote
$61,634 Salary, Full-Time
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Job Description
We are seeking a detail-oriented and analytical Underwriting Analyst to support our employee benefits and underwriting operations. This role is responsible for reviewing and analyzing medical and claims data, evaluating proposals, preparing renewal projections, and supporting strategic recommendations for clients. The ideal candidate will possess strong mathematic and analytical skills, with ability to manage multiple projects in a fast-paced environment. This is a great opportunity for someone ambitious in learning our industry. About Diversified Group Diversified Group is a well-established Third-Party Administrator (TPA) for self-funded or self-insured employer groups with clients located across the US. Diversified Group administers and manages the component parts of self-insured or self-funded medical plans including coordinating stop-loss providers, claims administration, medical management, disease management, networks, pharmacy benefit managers, data analytics, medical & pharmacy risk management, flex 125, and COBRA administration. Diversified Group strives to be an employer of choice, has long-tenured staff and offers great benefits, including an on-site gym and fitness classes. More information about the company can be found at www.dgb-online.com. Essential Job Functions Review quote requests submitted by sales staff to ensure accuracy and completeness for underwriting and carrier submissions. Analyze group health plan claims data, census information, and utilization trends to assess risk exposure and potential liabilities. Prepare renewal analyses, funding projections, claims utilization models, and forecasting reports to support client recommendations and budgeting. Identify trends, discrepancies, and risk factors within claims and underwriting data. Generate claims reports and ad hoc reporting for sales teams and block business analysis. Maintain and update renewal, new business, and termination tracking reports and communicate updates to Underwriting and Sales teams. Create and update underwriting templates, reporting tools, and internal documentation. Monitor pending cases to ensure timely follow-up, processing, and resolution. Review medical histories, prescription information, laboratory results, and related documentation to assess underwriting risk. Prepare underwriting case summaries and recommendations for senior underwriting review. Accurately enter and maintain underwriting and client data within internal systems. Support compliance with HIPAA regulations, state requirements, and company policies. Assist with audits, quality assurance initiatives, and operational reporting. Communicate professionally with internal departments, brokers, carriers, and external stakeholders. Education, Experience and Knowledge Qualifications Associates degree in business, finance, actuarial sciences or a related field, or equivalent combination of education and experience. Strong knowledge of Microsoft Office products: Outlook, Word, and Excel is required. Intermediate level Excel experience is preferred. Proficiency in accessing vendor sites, and insurance administration, information and reporting systems. Knowledge of medical terminology and insurance practices preferred but not required. Skills and Abilities Qualifications and Other Requirements Strong language and mathematical skills with ability to read and interpret written documents and spreadsheets, and numerical data and equations. Demonstrated professional written, verbal, and interpersonal communication skills. Exceptional phone etiquette with active listening, clarity of speech, and customer service skills. Ability to remain patient, calm and understanding with customers, brokers, consultants and stop-loss carriers with effective tolerance of potentially discourteous customers and difficult situations. Ability to use proper judgment and problem-solving skills. Effective time management and organizational skills. Ability to perform quality work demonstrating accuracy, thoroughness, and attention to detail. Must maintain confidentiality and adaptability, and work in a team environment. Dependable and adheres to company safety and attendance guidelines. Working Conditions/Physical Demands Normally seated with freedom of movement on a regular basis, operating office machines and handling light materials and supplies in a typical office environment setting. Must be able to work in office five days a week. May spend extended periods operating desktop computer, requiring hand-eye coordination and finger dexterity; and communicating face-to-face, on the telephone and in writing. Specific vision abilities required by this job include close vision and ability to adjust focus. Periodic physical activity requires standing and walking. Occasional physical activity requires climbing stairs, bending, stooping, kneeling, and crouching. The noise level in the work environment is usually very quiet. FT. Hours M-F 8:00 am-4:30 pm. Hybrid work (1-2 day/wk remote) may be available only after employee is fully trained.