The Underwriting Admin Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of an OH Medical Mutual office.

　　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 1.6 million Ohioans 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.

　　Medical Mutual’ s status as a mutual company means we are owned by our policyholders, not stockholders, so we don’t answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

　　Under general supervision, 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.

　　Responsibilities

　　Underwriting Admin Specialist I

　　· 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.

　　Sr. Underwriting Admin Specialist

　　· 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.

　　· Manages workflow distribution including multiple departments, mailboxes, and systems. Ensures turnaround goals are achieved.

　　· Identifies and assists with problem resolution within scope of authority. Interprets if escalation to management needed.

　　· Trains more junior level administrative staff and conducts peer reviews/audits on processes. Leads status meetings and coordinates daily queue assignments. Prepares and summarizes work logs and records for management review.

　　· Participates in the testing of the quoting and renewal systems to ensure rates are properly calculating, accuracy of exhibits, and quality assurance prior to release for external customers.

　　· Documents workflows and processes. Updates underwriting procedures for new state and federal laws/regulations per corporate direction. Identifies continuous improvement opportunities.

　　· Performs other duties as assigned.

　　Qualifications

　　Underwriting Admin Specialist I

　　Education and Experience:

　　· Associate Degree in Business or Healthcare Administration or related field or equivalent combination of experience, training, and education.

　　· 3 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.

　　Sr. Underwriting Admin Specialist

　　Education and Experience:

　　· Associate Degree in Business or Healthcare Administration or related field or equivalent combination of experience, training, and education.

　　· 5 years of experience as an Underwriting Administration Specialist or equivalent health plan sales or operations experience.

　　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 and basic knowledge of health insurance underwriting systems.

　　· Knowledge of health insurance products and underwriting operations.

　　· Knowledge of standard health insurance underwriting formulas and related Company policies and procedures.

　　· Strong math skills.

　　· Strong customer service and training skills.

　　Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

　　A Great Place to Work:

　　Top Workplace in Northeast Ohio. Year after year we've received this recognition!

　　On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!

　　On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations

　　Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member

　　Business Casual attire

　　Excellent Benefits and Compensation:

　　Competitive compensation plans

　　Employee bonus program

　　401(k) with company match and an additional company contribution

　　Excellent medical, dental, vision, and disability insurance

　　An Investment in You:

　　Career development programs and classes

　　Mentoring and coaching to help you advance

　　Education reimbursement up to $5K per year

　　About Medical Mutual:

　　We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!

　　At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

　　We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

　　Title: Underwriting Admin Specialist

　　Location: OH-Brooklyn

　　Requisition ID: 2400030