Group Renewal Underwriter

MCS Healthcare Holdings

San Juan, United StatesFull time
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Location
San Juan, United States
Job type
Full time
Posted
Oct 13
7 days ago
Career path

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About the company

MCS Healthcare Holdings

Insurance · 1,001 to 5,000 employees

MCS Healthcare Holdings on LinkedIn

What you'll do

  • Collect, validate, and analyze data for fully insured group account renewals
  • Extract and maintain information from MCS Life systems
  • Apply established methodologies and actuarial factors to renewal rate analyses
  • Assess the impact of plan design changes on utilization and claim costs
  • Review claim experience, utilization patterns, and historical renewal information
  • Prepare claim projections and supporting analyses
  • Provide renewal-related analyses and respond to data requests
  • Maintain accurate documentation and support renewal activities

What you need

  • Bachelor's degree in a related field
  • Minimum of two years of relevant experience
  • Spanish – Intermediate (comprehensive, writing and verbal)
  • English – Intermediate (comprehensive, writing and verbal)
  • Experience working with databases, reporting tools, and quantitative analysis (preferred)
  • Experience within the health insurance industry (preferred)

Key skills

data analysishealth insurance underwritingpricingfinancial analysisquantitative analysisdatabasesreporting toolsSpanish – IntermediateEnglish – Intermediate

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See full description on company page, apply now

Read the full posting here
GENERAL DESCRIPTION: Responsible for collecting, validating, and analyzing utilization, claims, benefits, and demographic information for fully insured group health and life insurance accounts. Supports the renewal process by preparing claim projections, evaluating plan utilization trends, and providing data-driven analyses that contribute to pricing recommendations and business profitability. ESSENTIAL FUNCTIONS: •Collects, validates, and analyzes claims, utilization, benefits, demographic, and financial data required for the evaluation of fully insured group account renewals. •Extracts and maintains information from MCS Life systems to support pricing analyses, claim projections, and renewal evaluations. •Applies established methodologies and actuarial factors to assist in the development of renewal rate analyses and claim cost projections. •Assesses the impact of plan design changes, including copayments, deductibles, and coinsurance, on expected utilization and claim costs. •Reviews claim experience, utilization patterns, and historical renewal information to identify trends and variances affecting account performance. •Prepares claim projections and supporting analyses for review and validation by senior team members or management. •Collaborate with Account Executives and internal business areas by providing renewal-related analyses and responding to data requests. •Maintains accurate documentation and supports the execution of renewal activities in accordance with established policies and procedures. • Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices. • May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document. MINIMUM QUALIFICATIONS: Education and Experience: Bachelor's degree in Business Administration with a concentration in Statistics, Finance, Quantitative Methods, Mathematics, Economics, or a related field. Minimum of two (2) years of experience in data analysis, health insurance underwriting, pricing, financial analysis, or fully insured group account renewals. Experience working with databases, reporting tools, and quantitative analysis is preferred. Experience within the health insurance industry is highly desirable. “Proven experience may be replaced by previously established requirements.” Certifications / Licenses: N/A Other: N/A Languages: Spanish – Intermediate (comprehensive, writing and verbal) English – Intermediate (comprehensive, writing and verbal)

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