Supervisor, Underwriting

🔥 0 minutes ago

🌪️ Kansas, Missouri – Remote

🌪️ Kansas – Remote 🏰 Missouri – Remote

💵 $99.4k - $124.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Underwriter

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Blue Cross and Blue Shield of Kansas

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Blue Cross and Blue Shield of Kansas is the largest health insurer in the state of Kansas and operates as a mutual insurance company owned by its policyholders. Governed by a board consisting of 16 Kansans with diverse expertise, the company ensures that the voices of customers and healthcare professionals are included in its operations. With a strong financial foundation, BCBSKS pays over $1 billion in annual claims to healthcare providers and actively contributes more than $140 million to the local economy through payroll and taxes. Headquartered in Topeka, KS, it employs nearly 1,400 individuals across various locations in the state and is part of the Blue Cross Blue Shield Association, which facilitates collaboration among 36 independent Plans nationwide.

📋 Description

• Supervise daily operations of the Enrollment Risk area • Ensure compliance with underwriting eligibility and participation guidelines for group and individual business • Review and approve risk evaluations, documentation, follow-up, and underwriting decisions • Partner with Sales, Rating, Actuarial, and Membership to clarify decisions and communicate eligibility methodologies • Oversee testing and development of system enhancements, upgrades, and underwriting process improvements • Manage external and internal communications regarding risk evaluation, eligibility, and underwriting decisions • Provide training and ongoing education to Underwriting staff, Sales, and other departments • Maintain knowledge of federal and state underwriting regulations, including HIPAA and ACA • Develop and implement workload management strategies • Conduct quality control audits on underwriting decisions and risk assessments • Provide leadership to Underwriting staff and support business growth while maintaining financial stability

🎯 Requirements

• High school diploma or equivalent required • Bachelor's degree preferred • Minimum of 5 years' experience in underwriting, group rating, actuarial, or risk adjustment, focused on eligibility, enrollment, and risk evaluation in the health insurance industry • Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment • Strong understanding of underwriting principles, eligibility guidelines, and risk assessment methodologies • Knowledge of medical terminology and ability to interpret health conditions for underwriting decisions • Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and underwriting systems • Excellent written and verbal communication skills • Strong problem-solving and decision-making abilities • Ability to manage multiple priorities, meet deadlines, and work efficiently in a team-oriented environment • Strong leadership and coaching skills, with experience in employee development and training • Knowledge of federal and state regulations impacting underwriting and enrollment, including ACA, HIPAA, and ERISA • LPN, Certified Nurses Aid, or Certified Medical Aid and/or experience coding medical records using ICD-9 or ICD-10 methodologies preferred • Prior leadership, supervisory, and training experience preferred • Background in medical underwriting, insurance products, regulatory compliance, and training and onboarding for underwriting teams preferred • Must complete pre-employment drug screening, criminal conviction check, employment verifications, and education verification as part of a conditional offer

🏖️ Benefits

• Paid vacation and sick leave • Paid maternity and paternity leave available immediately upon hire • Incentive pay program (EPIP) • Health, vision, and dental insurance • 6 weeks paid parental leave for new mothers and fathers • Fertility/adoption assistance • 2 weeks paid caregiver leave • 401(k) plan matching up to 5% • Tuition reimbursement • Health and fitness benefits, discounts and resources • Remote, hybrid, or onsite work options in accordance with the Telecommuting Policy