[Remote] Senior Financial Underwriter at Humana

San Antonio, Texas, United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Bachelor’s degree or equivalent experience
5+ years of experience with Employer Group Life and Disability underwriting
Ability to prioritize and efficiently handle multiple work items and due dates
Command of underwriting tools and systems
Ability to challenge status-quo and produce alternatives to support goals and growth
Comprehensive understanding of risk pool management, manual rating, experience rating and knowledge of Group Insurance products/processes
Excellent analytical and mathematical skills and ability to apply them to complex cases
Ability to make decisions, solve problems and meet challenges in completing work
Strong negotiation and relationship building skills
Working knowledge of Microsoft Excel, PowerPoint, and Word
Preferred: Master’s Degree
Preferred: Experience underwriting rates for complex accounts
Preferred: Experience analyzing a wide variety of health or claims related data
Preferred: Industry-related coursework (preferred but not required)
Preferred: Prior experience working with reinsurers

Responsibilities

Compute both new business and renewal rates for moderate to complex Group Life and Disability coverages for all case sizes, using experience and manual rates
Independently review client and competitor information, problem solve, and effectively negotiate with Sales and other areas of Humana
Serve as a resource and mentor to junior underwriters
Prepare financial exhibits and reports for large accounts; provide rationale and support to other areas and clients regarding rate computations and financial activity
Recommend and communicate products and competitive pricing to meet customer requirements
Review contracts and certificates, working with Product and Compliance to evaluate plan takeover suitability
Negotiate with Sales and Account Management for offers on new and existing business
May connect with agents/brokers and clients to resolve risk, plan, and rating concerns
Perform administrative processing of cases using underwriting tools, systems, databases, and EOI reviews
Document underwriting decisions effectively
Demonstrate strong time, organizational, and desk management
Provide mentoring/coaching in technical skills and support team growth; conduct training for sales/underwriting staff as needed
Participate in project work to develop or improve underwriting processes

Skills

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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