Level 3 Underwriter - Burnaby, Canada - Pacific Blue Cross

Description

Level 3 Underwriter

Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC's health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.

We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and/or management of chronic disease. We are interested in finding people who want to make a difference and who are looking to grow their career with us.

Perks

About the Position

Job Summary

Under the broad managerial direction of the Assistant Manager, Underwriting, reviews new business opportunities, renewal requests and contract amendments for potential and existing brokerage and major clients who fit within established Level 3 parameters for group, premium size, and underwriting method such as fully insured, Administrative Services Only (with deposit and rates) and refund accounting; responsible for the interpretation and intent of contracts by assessing the eligibility and risks based on multiple underwriting considerations, identifies declines, calculates rates and prepares proposal and renewal package documentation; participates in inter-departmental quote rate review process; reviews New Group Set Up packages; prepares customized reports for brokerage and major clients and identifies underwriting options for containing client costs; responsible for analysis and negotiation by providing the analytics and rationales to support Group Business in their ability support PBC's position on quotes, pricing considerations, and exceptions; handle large case renewals and quotes as a project, attends client and broker meetings as needed to provide support to group business; as a member of the Underwriting Team, identifies opportunities to improve underwriting processes and tools, and provides input and recommendations to enhance efficiency, effectiveness and customer service.

Job Duties

Customer, Client, and Member Service: Prospective New Clients

1. As a member of the Underwriting team, reviews new business opportunities of potential clients who fit within established Level 3 parameters for group, premium size, and underwriting method such as fully insured, Administrative Services Only in arrear and budgeted and refund accounting by:

2. Reviews New Group Set Up packages to assess impact of any changes occurring in group risk assessment factors since the original quote was made; determines the need for medical underwriting to confirm evidence of good health; introduces non-evidence limits if required and identifies potential for grandfathering of previous benefits situations; re-calculates pricing if required and consults with Account Managers/Executives to determine appropriate action in the event of rate changes; prepares group history summaries, volume reports, rate breakdowns for benefit type, target loss ratios, stop loss rates and other system entry and documentation requirements associated with new group set up and forwards to Group Business for completion and distribution.

3. Responsible for the interpretation and intent of contracts by assessing the eligibility and risks based on multiple underwriting considerations, identifies declines, calculates rates, and prepares proposal and renewal package documentation.

Customer, Client, and Member Service: Group Renewal and Retention of Existing Clients

4. Reviews renewals and requests for benefit changes in group contracts and clarifies contract wording for existing clients who fit within established Level 3 parameters, assesses risk, and determines renewal rates or rate changes by:

5. In partnership with Group Business and other team members, prepares customized reports for clients on claims, premiums paid, transfers, disability and other financial or client experience data; compiles, balances and reconciles client expenses and other financial statements; on an ongoing basis, identifies underwriting options for containing client costs, particularly in the areas of plan design, and pursues creative solutions that balance client needs against PBC's ability to deliver on commitments.

6. Responsible for the interpretation and intent of contracts by assessing the eligibility and risks based on multiple underwriting considerations, identifies declines, calculates rates and prepares proposal, and renewal package documentation.

7. Preparing worksheet for robotic process automation (RPA), manually keying rates, and comparing verified sold to required rates and charge inputs in ACES. Reporting incorrect, inconsistent or non-standard rate issues to Group Business for clarification with client.

8. Services clients by:

General Team and Department Support

9. Consults with other Underwriters on underwriting decisions falling within Level 3 authority limits and approves new business quotations, financial refund requests, renewals and amendments. Conducts peer reviews for renewals, quotes and amendments for Level 3 Underwriters, Level 2 Underwriters, and Level 1 Underwriters.

10. As a member of the Underwriting Team, identifies opportunities to improve underwriting processes and tools, and provides input and recommendations to enhance efficiency, effectiveness, and customer service.

11. Using the intermediate features of spreadsheet software, creates, edits and formats worksheets including entering and editing data, and creating formulas to automate multiple manual calculations relating to underwriting rates or the creation of customized client reports.

12. On a one to one or team basis, supports employees team members by demonstrating the execution of specific tasks and duties, and sharing knowledge and experience on request.

13. Maintains up-to-date knowledge of underwriting practices, policies and procedures, system requirements and other information related to the provision of underwriting through continuous learning initiatives; in consultation with more senior underwriters, may participate in learning enrichment activities associated with underwriting for larger and/or more complex groups as opportunities arise.

14. As needed, performs the duties of a Level 2 Underwriter, Level 1 Underwriter, and/or Underwriting Assistant.

15. Performs other assigned duties related to the provision of underwriting and administrative support which do not affect the rating of the job.

Qualifications