Medical Underwriting Nurse
Location
United States
Posted
3 days ago
Salary
$71K - $156K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Medical Underwriting Nurse
Tokio Marine HCC
Role Description Relying on limited experience and knowledge, this role is responsible for accomplishing the following assignments. These assignments are varied in nature. - Review issues forwarded from the Underwriting group that includes complex diagnoses and then estimate ongoing costs. Provide this information to the specific Underwriter. - Act as support for renewal underwriting. This includes, but is not limited to, assessing the severity code on ongoing claims, adjusting reserves for accuracy, evaluating new referrals if effective within sixty days of notice, and assigning recommended specifics, if requested. - Educate Underwriters on how to recognize specific diagnoses and severe types of diagnoses to ensure these are identified and properly quoted during the underwriting process. Qualifications - 4 Year / Bachelors Degree in a related field or the equivalent education and/or experience - Required Registered Nurse (RN) designation - 5 Years Relevant and progressive clinical experience, preferably in an acute care or managed care setting - 5 Years Clinical experience, preferably in an acute care setting and/or managed care setting - Strong medical knowledge including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), medical terminology, COBRA, and HIPAA - Strong understanding of operations of third-party administrators (TPAs) and managing general underwriters (MGUs) - Knowledge of Carrier and Reinsurer reporting and contractual requirements - Possess and have ability to apply broad knowledge of principles, practices, and procedures - Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy - Exceptional organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously - Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing business environment - Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word) - Occasional travel (up to 10% of time) Benefits - Competitive salary and comprehensive benefit package - Strong learning culture with ongoing development opportunities - Opportunities for growth and career advancement - Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment - Basic life and disability insurance - 401(k) plan with 6% company match - 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off - Paid parental leave - Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription - Student loan matching program - Employee discount program - An opportunity to do meaningful work and love what you do Company Description Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom, Europe, and other exciting locations. With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don’t even know exist. For over 50 years, HCC Life Insurance Company, operating as Tokio Marine HCC – A&H Group, has been at the forefront of medical stop loss insurance. In addition to traditional stop loss, we offer captive and Taft-Hartley stop loss solutions, level funded stop loss, Organ & Tissue Transplant insurance and MedPlus insurance. Tokio Marine HCC – A&H Group is rated A++ (Superior) by A.M. Best Company and benefits from the financial stability of its parent company, Tokio Marine HCC.
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Title: Underwriting Consultant Location: Hartford United States Job category: Underwriting & Pricing Overtime status: Exempt Travel: No Job Description: At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Underwriting Consultant will analyze health benefit plan characteristics and assess risks as to frequency and potential severity of losses of clients. This individual will analyze health benefit plan characteristics and assess risks as to frequency and potential severity of losses of clients. Will utilize established underwriting criteria and policies to provide proper rating methodologies. 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No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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