map it!US-KY-Louisville      |    Underwriting Consultant - Group Medicare
Underwriting Consultant - Group Medicare    
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Job Description 

Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Underwriting Consultant
Assignment: Group Medicare
Location: Louisville, KY

Are you a fit?
Are you an analytical thinker? Would you enjoy analyzing various types of data to help assess risk and make coverage recommendations?

Assignment Capsule
As an underwriting consultant you will: develop and maintain an extensive understanding of complex underwriting data and trends while attaining financial and marketing objectives. You will provide technical guidance, analyze data and make pricing recommendations.

  • Review customer and partner applications, gather data and assess risk, providing accurate case documentation and sound decisions
  • Evaluate financial risk in conformance with underwriting policies, procedures and methodologies, keeping in mind overall profit objectives
  • Develop and maintain an understanding of state-specific requirements and Health Insurance Portability and Accountability Act regulations
  • Partner with customers, sales offices and agents to address demonstrated customer needs


Key Competencies
  • Builds Trust: You honor your word by doing what you say you are going to do.
  • Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
  • Innovate: You introduce new ideas and processes which improve performance and productivity.
  • Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.


Role Essentials
  • Bachelor's Degree in Business, Mathematics or a health-related field
  • Prior underwriting experience, or comparable in-depth knowledge and understanding of underwriting practices
  • Intermediate to advanced knowledge of Microsoft Access and Excel


Role Desirables
  • Previous experience in claims and/or provider network operations
  • Experience using MetaVance


Reporting Relationships
  • You will report to an Underwriting Manager. This area is under the leadership of the SVP & Chief Operating Officer.
 


Job Requirements 

See Above 

 

     
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