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Underwriting Quality and Tools Analyst

Blue Cross Blue Shield of Kansas

Hutchinson, Kansas

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JOB DETAILS
SKILLS
Actuarial Skills, Analysis Skills, Automation, Continuous Improvement, Data Analysis, Data Modeling, Data Quality, Dental Insurance, Documentation Standards, External Audit, Finance, Financial Analysis, Fitness, Health Insurance, Incentive Programs, Insurance, Insurance Underwriting, Internal Audit, Mail Processing, Maintain Compliance, Mathematics, Operational Audit, Operational Support, Predictive Modeling, Process Improvement, Profit & Loss Analysis, Quality Assurance, Quality Management, Regulations, Regulatory Reports, Risk Analysis, Risk Modeling, Sales, Statistics, Stop Loss Insurance, Team Player, Technical Training, Time Management, Training Program, Training/Teaching, Underwriting, Vision Plan
LOCATION
Hutchinson, Kansas
POSTED
30+ days ago
Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

You Belong At Blue

Why Join Us?

  • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
  • FamilyComes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  • Professional Growth Opportunities: Advance your career with ongoing training and development programs.
  • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
  • Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
  • Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks

  • Base compensation is only one component of your competitive Total Rewards 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 of underwriting processes, rating methodologies, and actuarial evaluations supporting group rating and stop-loss analysis. This role focuses on quality assurance, underwriting governance, actuarial support, process optimization, reporting, tool maintenance, and training to support underwriting operations. The analyst leads quality reviews, manages actuarial and underwriting data integrity, evaluates rating methodologies, refines risk assessment tools, assists in system improvements, and collaborates with internal stakeholders to enhance efficiency and compliance. Reporting to the Manager, Underwriting Quality & 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 in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."

What you'll do

  • Oversee and execute quality reviews of Group Rating Intake Tool (GRIT) requests and monthly production work, ensuring accuracy and compliance with actuarial rating methodologies and underwriting guidelines.
  • Conduct actuarial, underwriting, and financial impact analysis, including short/long stop-loss period analysis, credibility studies, and underwriting risk assessments to drive data-backed recommendations.
  • Develop and implement training materials, procedure manuals, and departmental documentation to ensure standardization and knowledge retention of actuarial methodologies and underwriting practices.
  • Identify and implement efficiencies in underwriting workflows, leveraging automation, predictive modeling, and data-driven process improvements to optimize team productivity.
  • Develop and deliver technical training on underwriting practices, actuarial methodologies, rating factor adjustments, and risk evaluation techniques.
  • Collaborate with internal and external audit teams to support actuarial and underwriting compliance, quality controls, and regulatory reporting.
  • Review and validate with final quality reviews for monthly mailings and other underwriting communications to ensure accuracy and clarity.
  • Develop, analyze, and maintain rating factors and risk models that support underwriting and actuarial tools, ensuring data-driven decision-making.
  • Support SERFF rate filings with the Kansas Department of Insurance (KDOI) ensuring accurate and timely submission of rate justifications and regulatory documents.
  • Oversee enhancements to underwriting tools and actuarial databases, ensuring seamless integration of rating models and optimization of underwriting systems.

What you need

Education and Experience:
  • Bachelor's degree in Business, Mathematics, Statistics, Finance, or a related field required.
  • Minimum of 3 years of experience in underwriting, group rating, actuarial, sales, or quality assurance within the health insurance industry required.
  • Experience in reporting, process improvement, and automatio

About the Company

B

Blue Cross Blue Shield of Kansas

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