Medical Underwriter/Analyst
Position Description Position Title: Medical Underwriter Reports To: President Company Overview: Employee Benefits International (EBI) is an Arizona-based full-service brokerage and consulting firm specializing in Employee Benefits. Offering extensive expertise in program design, market review, renewal negotiation, financial budget projections, claims utilization analysis, wellness programs, and compliance. EBI’s strategic planning with employers is aimed at long-term employee benefit solutions. EBI offers a wealth of knowledge and consultative value to all aspects of Risk Management. Summary: The Medical Underwriter manages the analytics, insights, reporting, and distribution of key marketing performance indicators to EBI management. The ideal candidate has a strong background in health insurance-related analytics and has a proven track record of delivering insights that have successfully driven better outcomes and lower cost. Providing insights that will enhance communication of financial outcomes, performance/predictive analytics, and help develop models for future risk management improvements. Primary Functions: Identifies, analyzes interprets, and validates healthcare data metrics, trends, and patterns. Conducts ad hoc and in-depth analysis of clients, marketing initiatives, and monthly experience data identify key insights to drive optimization and identify opportunities for client risk management. Research, hypothesize and develop analytical approaches for identifying, analyzing, and interpreting trends in health care spend. Develop monthly, quarterly, and annual reporting dashboards that bring together multiple data sources from across the marketing funnel and generate insights and inform business decisions. Devise processes for data collection and monitoring to uphold data integrity; reconcile data from many sources. Embed best practice and champion data standards into the business and be an advocate for improving data governance and quality. Assist A/B testing, from identifying opportunities, running test, analyzing results, and delivering recommendations to the business on optimization-based results. Monitor technology trends related to data capabilities such as data analytics and reporting to identify new and emerging opportunities. Creates future claims projections and renewal modeling using actuarial and underwriting tools. Tracks Incurred but not Reported (IBNR) claims for self-funded clients and provides Reserve allocation for budgeting purposes as needed. Conducts Stop Loss Audit to ensure appropriate claims are paid out based on contract basis. job requirements & Qualifications: B.S. in quantitative field such as Computer Science, Statistics, Math, or Analytics/BI-related field a plus 2+ year’s data analyst experience in healthcare and/or health Insurance field Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy Strong knowledge of and experience with reporting packages (Business Objects, etc.) and databases (SQL, etc.) Proficient with data visualization tools such a Tableau, Google Data Studio, or Power BI (preferred) Extensive experience with Excel and Access Adept at queries, report writing, and presenting findings Springbuk and Claros Data Analytics platform experience preferred Supervisory Responsibilities: This job has no supervisory responsibilities at present. Location: This position can be based anywhere in the U.S. and can be remote. Employment Type: FULL_TIME Apply tot his job