Underwriting Quality and Tools Analyst

This job was posted by https://www.kansasworks.com : For moreinformation, please see: https://www.kansasworks.com/jobs/13422106 BlueCross and Blue Shield of Kansas is looking to add to our growingUnderwriting team and has a new opportunity for an Underwriting Qualityand Tools Analyst. This position ensures the accuracy, efficiency,financial integrity, and continuous improvement of underwritingprocesses, rating methodologies, and actuarial evaluations supportinggroup rating and stop-loss analysis. This role focuses on qualityassurance, 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.\"Are you ready to make a difference? Choose to work for one of the mosttrusted companies in Kansas.**Why Join Us?** **Family** **Comes First**: Total rewards package that promotes theidea of family first for all employees. **Professional Growth Opportunities:** Advance your career withongoing training and development programs. **Dynamic Work Environment:** Collaborate with a team of passionateand driven individuals. **Trust:** Work for one of the most trusted companies in Kansas **Stability:** 80 years of commitment, compassion and community**Compensation****\$99,440 - \$124,300****Exempt Grade 17** Blue Cross and Blue Shield of Kansas offers excellent competitivecompensation with the goal of retaining and growing talented teammembers. The compensation range for this role is a good faithestimate, it is estimated based on what a successful candidate mightbe paid. All offers presented to candidates are carefully reviewedto ensure fair, equitable pay by offering competitive wages thatalign with the individual\'s skills, education, experience, andtraining. The range may vary above or below the stated amounts.**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 monthly mailingsand other underwriting communications to ensure accuracy andclarity. Develop, analyze, and maintain rating factors and r sk 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** Bachelor\'s degree in Business, Mathematics, Statistics, Finance, ora related field. Minimum of 3 years of experience in underwriting, group rating,actuarial, or quality assurance within the health insuranceindustry.**Knowledge/Skills/Abilities**Strong analytical and problem-solving skills to assess underwritingdata, quality trends, actuarial trends, risk factors, and processinefficiencies.Expertise in quality assurance methodologies and underwriting ratingtools.Ability to develop and deliver technical training programs and createcomprehensive documentation for underwriting processes.Knowledge of actuarial and underwriting principles, ratingmethodologies, and health insurance regulatory compliance.Strong organizational ski