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Level 3 Underwriter
3 weeks ago
Pacific Blue Cross has been British Columbia's leading benefits provider for 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. Together with our subsidiary BC Life, 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 Pacific Blue Cross Health Foundation, we also provide funding to community organizations with a focus on alleviating mental illness and chronic disease. We're interested in finding people who want to make a difference and who will take advantage of every opportunity to build a career with us.
Pacific Blue Cross offers an attractive compensation and benefits package, fitness programs, and an onsite gym and cafeteria. Our workplace culture values health and wellness, continuing education, environmental sustainability and giving back to the community.
If you are committed to improving the health and well-being of British Columbians, we are currently recruiting for a
**Level 3 Underwriter** to join our Underwriting team to backfill a maternity leave. This is a permanent, full-time role, and will include in office training, after which, the ability to work from both, office and home, on a hybrid basis.
**Job Duties**
**_Customer, Client and Member Service: Prospective New Clients_**
As a member of an assigned Brokerage or Major Accounts Underwriting team, reviews new business opportunities potential brokerage and major account 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 by:
- Analyzing Requests to Quote to assess eligibility and degree of risk including reviewing the industry type, years in business, existing benefits, family content, occupations to be covered, dates of hire, location, salary levels, participation, age distribution, benefit levels, classing criteria, non-standard ownership and collective agreement impacts if in a unionized environment;
- Identifying factors which result in decline of opportunities to quote;
- Assessing previous group claims experience;
- Evaluating degree of risk associated with non-standard policy provision, practices and procedures;
- Calculating rates for benefits based on results of analysis;
- Consulting with Account Managers to develop quote strategies for large and complex groups with multiple benefit lines and complex risk factors and to explore alterations in plan design to accommodate group situations while still remaining competitive;
- Participating in inter-departmental quote rate review process for new business opportunities involving large groups and high risk impacts;
- Responding to general inquiries such as claims turnaround times and services provided;
- Forwarding completed quote to Underwriting Assistants for generation and distribution of the final proposal document.
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 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 Underwriting Assistant for completion and distribution.
**_Customer, Client and Member Service: Group Renewal and Retention of Existing Clients_**
Reviews renewals and requests for benefit changes in group contracts and clarification of contract wording for existing brokerage and major clients who fit within established Level 3 parameters, assesses risk and determines renewal rates or rate changes by:
- Analyzing claims experience, credibility, group size, industry and economic influences, rating method and other factors which could potentially influence pricing or ability to renew;
- Assessing requested amendments to plan design to determine impact;
- Calculating rates for benefits based on results of analysis;
- Consulting with Account Managers to determine degree of leeway present for negotiating alternate pricing or plan alterations to preserve existing relationships while managing costs, or to mitigate the impact of extreme rate changes;
- Preparing financial statements for refund and ASO accounting clients to determine balance remaining in client account, implementing strategies to recover deficits or on an occasional basis, declining to renew;
- Generating a renewal package includ
