Healthcare Underwriting Representative

Job Title: Underwriting Account Senior Representative

Pay Rate: $25...

100% Remote

Responsibilities:

As an Underwriter for Cigna Healthcare Supplemental Benefits, you are part of a team assessing risk for Medicare Supplement and a portfolio of supplemental products including Whole Life and Cancer and Heart plans. This team interacts with agents and applicants regarding underwriting requirements and underwriting decisions. Bring your problem-solving and analytical skills and computer knowledge as we change people’s lives for the better.
• Accurately assess medical history according to established underwriting criteria. This will include review of the enrollment application and available third-party data to assist with risk evaluation.
• Understanding of the portfolio of product offerings and the different underwriting criteria used to accurately evaluate an enrollment application.
• Reach out to applicants for clarity regarding medical history. This will include asking additional probing questions related to medical history or prescription usage.
• Complete application reviews timely. This will include reviewing applications within established turnaround times to meet service level targets.
• Clearly communicate and publish underwriting decision details for denied coverage. This will include creating accurate and complete written correspondence.
• Build and maintain relationships with other members of the new business team to include the UW Support Team

Skills/Requirements:

Medical UW experience, critical thinking skills

Strict adherence to established protocols and schedule

Strong communication skills

1+ years prior Healthcare Underwriting experience required.

Medical knowledge or prior medical Insurance-related work experience required.

Above average knowledge of medical conditions/prescriptions

Ability to work independently and as part of a team is essential.

Excellent verbal and written communication skills

Proficiency using Microsoft Office, specifically Word and Excel

Ability to meet production and quality standards.

Intermediate PC Skills

Experience working in a remote environment

Education:

High School diploma is required

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