Medical Underwriter

Job TitleUNDERWRITER 2

 

 

Primary Function /

Core Job Responsibilities

Reviews dental/major medical enrollment applications and documentation to determine if the applicant is an acceptable risk in accordance with carrier medical and administrative guidelines and standards.

Primary responsibilities:

·  Evaluate risk and eligibility.

·  Assign rates, endorsements, and amendments where applicable.

·  Quality, service speed and productivity goals;

·  Customer satisfaction goals.

·  Uses ADMIN system to accurately input statistical information;

·  Issues cases upon completion of review;

 

 

 

Minimum Education & Experience

·  HS or GED.

·  1-3 years experience.

·  Prior medical knowledge

 

 

Expertise

·  Problems follow a standard pattern but involve a variety of administrative and/or technical solutions.

·   Utilize thorough technical and theoretical understanding of several techniques to complete assigned tasks.

·  Understand and reproducibly follow documented procedures;

·  Provide input for process/documentation improvements.

·  Recognizes and resolves problems

 

 

Accountability and Supervision

·  Generally supervised environment.

·  Effort requires following well-defined standards.

·  Decisions and actions may affect programs or projects.

·  Budgets own time to carry out assigned duties.

 

 

Job Knowledge

· Multiple but similar tasks requiring some choices from among clearly defined alternatives.

· Differing but recurring problems and/or duties.

·  Required procedural proficiency and attention to policies and guidelines.  Thinking may be guided by standard practices.

Computer skills

Knowledge of Microsoft Office Suite as well as other business related software; 10 key. Able to type 30+ words per minute.