Ville : Burnaby

Catégorie : Health Insurance

Industrie : Insurance

Employeur : Pacific Blue Cross

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 an up to 12 month Level 3 Underwriter to join our Underwriting team to backfill a maternity leave. The role 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 including all required support documentation and forwarding to the Underwriting Assistant for processing and distribution.

In partnership with Account Managers, Group Administration and other team members, prepares customized reports for brokerage and major clients on claims, premiums paid, transfers, disability and other financial or client experience data; compiles, balances and reconciles client expenses and other financial statements; on an ongoing basis, identifies underwriting options for containing client costs, particularly in the areas of plan design, and pursues creative solutions that balance client needs against PBC’s ability to deliver on commitments.

General Team and Department Support

• Consults with other Underwriters on underwriting decisions falling within Level 3 limits and approves new business quotations, renewals and amendments.
• As a member of the Underwriting Team, identifies opportunities to improve underwriting processes and tools, and provides input and recommendations to enhance efficiency, effectiveness and customer service.
• Using the intermediate features of spreadsheet software, creates, edits and formats worksheets including entering and editing data, and creating formulas to automate multiple manual calculations relating to underwriting rates or the creation of customized client reports.
• On a one to one or group basis, supports new employees by demonstrating the execution of specific tasks and duties, and sharing knowledge and experience on request.
• Maintains up to date knowledge of underwriting practices, policies and procedures, system requirements and other information related to the provision of underwriting through continuous learning initiatives; in consultation with more senior underwriters, may participate in learning enrichment activities associated with underwriting for larger and/or more complex groups as opportunities arise.
• Performs other assigned duties related to the provision of underwriting and administrative support which do not affect the rating of the job.

Qualifications:

• Bachelor’s degree (or equivalent) in a related field such as business administration, economics or finance including demonstrated proficiency with Intermediate Level Excel and Basic Word
• A minimum of 5 years of previous related experience including a minimum of 2 years in a Level 2 Underwriter position (or equivalent)
• Completion of six courses in the FLMI or CEBS programs (or equivalent)
• Typing skills of 40 wpm

We strive to create a workplace where everyone feels valued and employees feel empowered to freely participate and contribute regardless of race, ethnicity, gender, sexual orientation, religion, ability, education level, parental status, or socioeconomic status. PBC is an equal opportunity employer and welcomes applications from all qualified candidates. To request an accommodation in completing this application, pre-employment testing, interviewing or otherwise participating in the employee selection process, please direct your inquiries to careers@pac.bluecross.ca.