Underwriter I, II, III or Senior

Underwriter I, II, III or Senior

Hybrid role (3 days/week in office) at our Salt Lake City, Boise, Portland, Vancouver, Renton, Medford, Burlington, Lewiston offices. Preference will be given to current employees and candidates who reside within a commutable distance from our Salt Lake City, Boise, and Lewiston offices or who are willing to relocate.

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia’s dedicated team of Underwriters is living our mission to make health care easier and lives better. As a member of the Underwriters team, our Underwriters Evaluate assigned group eligibility and risk and assign the appropriate rate for new and renewal groups across small and large group segments – all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications

• Underwriter I

• Bachelor's degree in business, math, statistics, or related discipline; or equivalent combination of education and experience.

• Underwriter II

• Bachelor's degree in business, math, statistics, or related discipline and a minimum of 3 years of related experience; or equivalent combination.

• Underwriter III

• Bachelor's degree in business, math, statistics, or related discipline and a minimum of 5 years of related experience; or equivalent combination.

• Underwriter Senior

• Bachelor's degree in business, math, statistics, or related discipline and a minimum of 8 years of related experience; or equivalent combination.

Skills and Attributes:

• Demonstrated analytical and problem-solving skills.

• Business acumen including finance, accounting, economics, and risk management principles.

• Effective verbal and written communication skills.

• Ability to build and maintain positive internal and external customer interactions.

• Ability to prioritize tasks and meet deadlines.

• Demonstrated technology proficiency, including Excel, Word, and applicable software applications.

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

• Additional Minimum Requirements for level II

• Demonstrated success managing competing priorities and workload.

• Ability to work independently, meet deadlines, and achieve standards.

• Proven attention to detail and accuracy in data entry and other administrative tasks.

• Understanding of fundamental negotiation principles and company policies.

• Additional Minimum Requirements for level III

• Demonstrated proficiency working with complex computer software systems and automation.

• Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity or understanding.

• Advanced knowledge of healthcare benefits and programs.

• Confidence in presenting terms and defending underwriting decisions.

• Strong problem-solving skills with the ability to investigate and resolve complex issues.

• Additional Minimum Requirements for Senior level

• Proven understanding of business, including finance, accounting, economics, and risk management.

• Demonstrated attainment of a high level of independent, consistent performance.

• Ability to organize, plan, prioritize, and complete complex assignments with little or no supervision.

• Ability to document processes and procedures.

• Demonstrated ability to read the marketplace and competitive environment.

• Expertise in alternate funding arrangements and underwriting policies and procedures.

What You Will Do at Cambia:

• Follow underwriting guidelines, policies, procedures, and formulas in developing and assigning rates for new and renewal groups, including alternative benefit variations and complex funding arrangements.

• Verify employer eligibility to purchase and renew group products, ensuring all groups meet minimum participation and contribution requirements.

• Audit new and renewing groups as necessary to ensure compliance with underwriting and legislative guidelines.

• Validate that all required documentation received is complete and properly executed.

• Approve renewal changes after verifying rates and product selection.

• Maintain complete and accurate records and documentation in underwriting systems.

• Identify and resolve data discrepancies and processing errors.

• Monitor application status and ensure timely processing through workflow systems.

• Gather appropriate data to determine the status of account refunds.

• Maintain spreadsheet information on group renewal history.

• Use independent judgment, or judgment with appropriate level of peer/manager review, to evaluate system-generated rate calculations for reasonability.

• Utilize applications to support the rating and underwriting process, including but not limited to StepWise, Salesforce, claims systems, and other reporting databases.

• Prepare memos and other correspondence to communicate changes in rates or benefits.

• Process appropriate paperwork associated with renewal rate actions and proposal closings.

• Maintain a working knowledge of State and Federal regulations, including the Affordable Care Act, affecting group rating.

• Additional General Functions and Outcomes for level II

• Assist in training more junior level Underwriters.

• Work independently to prioritize work, meet deadlines, and achieve standards.

• Prepare retrospective settlements.

• Analyze reinstatement requests to grant or deny approval.

• Advise internal teams on underwriting questions and issue resolution.

• Support management reporting efforts and the development of automated rating and analysis tools.

• Develop and prepare federal and state reporting documents.

• Answer questions regarding the basic factors used in developing rates.

• Additional General Functions and Outcomes for level III

• Proactively suggest alternative benefit options and determine rates for alternative benefit variations and more complex funding arrangements.

• Support all types of group clients, including self-funded companies, associations, and national accounts.

• Actively participate in the review and maintenance of underwriting guidelines.

• Conduct user acceptance testing of underwriting and front-end systems.

• Provide training to non-underwriting departments, including Sales, on underwriting policies and procedures as necessary.

• Use independent judgment to evaluate system-generated rate calculations for reasonability.

• Answer questions regarding the factors used in developing rates, including group size, type of benefits, age/gender composition, large claims, experience from prior carriers, and current rates.

• Analyze large claims to proactively identify risk patterns and develop accurate pricing models.

• Assess health risk in a group environment, including large claim analysis for ongoing claim costs.

• Review and determine whether to grant exceptions to underwriting policy.

• Ensure proper administration of underwriting and legislative guidelines for new and renewing groups.

• Handle large volume production with account-specific issues (e.g., reinstatements, eligibility standards, group identification criteria).

• Prepare rate breakouts and hierarchy definitions for group setups.

• Review and direct the preparation of experience reports for fiscal, ERISA, and retrospective premium settlements.

• May prepare written summaries of recommendations and/or conditions of coverage following each analysis.

• May prepare explanations of past rating history, documenting benefit and enrollment changes, and providing recommendations for benefit and financial options.

• Additional General Functions and Outcomes for Senior level

• Assist the Manager in the education and support of new and junior Underwriters.

• Leverage expertise in alternative funding models and benefit packages to proactively identify solutions and analyze potential risk.

• Craft clear communications to Sales documenting underwriting decisions.

• May attend broker meetings, as well as meetings with sales executives, agents, and/or groups to provide explanations of rating principles or rationale of rating positions.

• Research and resolve complex group eligibility questions.

• Recommend solutions to improve procedures and processes.

• Contribute to the development of new rating formulas, methodologies, and guidelines.

• Champion best practices as a subject matter expert.

• Represent underwriting on cross-functional workgroups and strategy sessions, serving as a department representative.

• Work Environment

• Work primarily performed in an office environment.

• Travel may be required – list locally or out of state.

• May be required to work outside of normal hours.

• Oregon, Washington, Utah, and Idaho: The expected hourly hiring range for a Underwriter I is 25.92 - 37.26, the current full hourly range for this role is 24.40 - 42.20 and the bonus target is 5%.

• Oregon, Washington, Utah, and Idaho: The expected hiring range for a Underwriter II is 69,700 – 94,300, the current full salary range for this role is 65,000.00 – 107,000.00 and the bonus target is 5%.

• Oregon, Washington, Utah, and Idaho: The expected hiring range for a Underwriter III is 84,150.00 - 113,850.00, the current full salary range for this role is 79,000 to 129,000.00 and the bonus target for this position is 10%.

• Oregon, Washington, Utah, and Idaho: The expected hiring range for a Underwriter Senior is 101,150.00 - 136,850.00, the current full salary range for this role is 95,000 to 155,000.00 and the bonus target for this position is 15%.

• About Cambia

• Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

• Why Join the Cambia Team?

At Cambia, you can:

• Work alongside diverse teams building cutting-edge solutions to transform health care.

• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.

• Grow your career with a company committed to helping you succeed.

• Give back to your community by participating in Cambia-supported outreach programs.

• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

• We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.

• Annual employer contribution to a health savings account.

• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.

• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).

• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).

• Award-winning wellness programs that reward you for participation.

• Employee Assistance Fund for those in need.

• Commute and parking benefits.

• Learn more about our benefits.

• We are happy to offer work from home options for most of our roles. To take adv