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Underwriting Quality and Tools Analyst

This job was posted by https://www.kansasworks.com : For moreinformation, please see: https://www.kansasworks.com/jobs/13561547 **Areyou ready to make a difference? Choose to work for one of the mosttrusted companies in Kansas.****You Belong At Blue**Why Join Us?** **Make a Positive Impact:** Your work will directly contribute tothe health and well-being of Kansans. **Family** **Comes First**: Total rewards package that promotes theidea of family first for all employees. Paid vacation and sick leavewith paid maternity and paternity available immediately upon hire **Professional Growth Opportunities:** Advance your career withongoing training and development programs. **Dynamic Work Environment:** Collaborate with a team of passionateand driven individuals in a work environment that promotesflexibility. **Trust and Stability:** Work for one of the most trusted companiesin Kansas with over 80 years of commitment, compassion andcommunity. **Inclusive Work Environment:** We pride ourselves on fostering aworkplace where everyone is valued and respected.**Benefits & Perks** Base compensation is only one component of your competitive TotalRewards package Incentive pay program (EPIP) Health/Vision/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 & fitness benefits, discounts and resources**Job Summary**The Underwriting Quality & Tools Analyst ensures the accuracy,efficiency, financial integrity, and continuous improvement ofunderwriting processes, rating methodologies, and actuarial evaluationssupporting group rating and stop-loss analysis. This role focuses onquality assurance, underwriting governance, actuarial support, processoptimization, reporting, tool maintenance, and training to supportunderwriting operations. The analyst leads quality reviews, managesactuarial and underwriting data integrity, evaluates ratingmethodologies, refines risk assessment tools, assists in systemimprovements, and collaborates with internal stakeholders to enhanceefficiency and compliance. Reporting to the Manager, UnderwritingQuality & Tool, this role plays a key part in driving data integrity,automation, and workflow enhancements.\"This position is eligible to work remotely, hybrid or onsite inaccordance with our Telecommuting Policy. Applicants must reside inKansas or Missouri or be willing to relocate as a condition ofemployment.\"**What you\'ll do** Oversee and execute quality reviews of Group Rating Intake Tool(GRIT) requests and monthly production work, ensuring accuracy andcompliance with actuarial rating methodologies and underwritingguidelines. Conduct actuarial, underwriting, and financial impact analysis,including short/long stop-loss period analysis, credibility studies,and underwriting risk assessments to drive data-backedrecommendations. Develop and implement training materials, procedure manuals, anddepartmental documentation to ensure standardization and knowledgeretention of actuarial methodologies and underwriting practices. Identify and implement efficiencies in underwriting workflows,leveraging automation, predictive modeling, and data-driven processimprovements to optimize team productivity. Develop and deliver technical training on underwriting practices,actuarial methodologies, rating factor adjustments, and riskevaluation techniques. Collaborate with internal and external audit teams to supportactuarial and underwriting compliance, quality controls, andregulatory reporting. Review and validate with final quality reviews for mo thly mailingsand other underwriting communications to ensure accuracy andclarity. Develop, analyze, and maintain rating factors and risk models thatsupport underwriting and actuarial tools, ensuring data-drivendecision-making. Support SERFF rate filings with the Kansas Department of Insurance(KDOI) ensuring accurate and timely submission of ratejustifications and regulatory documents. Oversee enhancements to underwriting tools and actuarial databases,ensuring seamless integration of rating models and optimization ofunderwriting systems.**What you need**Education And Experience Bachelor\'s degree in Business, Mathematics, Statistics, Finance, ora related field required. Minimum of 3 years of experience in underwriting, group rating,actuarial, sales, or quality assurance within the health insuranceindustry required. Experience in reporting, process improvement, and automation ofunderwriting workflows preferred. Background in regulatory compliance, rating factors, andunderwriting system administration is a plus.**Knowledge/Skills/Abilities**Strong analytical and problem-solving skills t
Underwriting Quality and Tools Analyst at Blue Cross...