Sr Underwriting Specialist
TheLong-TermCare Underwriteris responsible forevaluating, classifying, andrenderingappropriate riskdecisions on Long Term Care insurance applicationsin accordance withestablished underwriting guidelines, company standards, and service expectations. This position requires sound analytical judgment,strong communicationskills, and the ability to manage cases effectively while supportingprofessionaland responsive experience for field partners, clients, and internal stakeholders.
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PLEASE NOTE: Candidates with Long Term Care underwriting experience or relevant individual insurance underwriting experience will be strongly preferred.
Job Summary
TheLong-TermCare Underwriter develops andmaintainseffective working relationships with Financial Advisors, field partners, internal business partners, and clients. The incumbent evaluates Long Term Care insurance applications, assesses medical, functional, cognitive, occupational, and lifestyle risk factors, and makesappropriate underwritingdeterminations consistent with company guidelines, production standards, and service objectives.
Primary Duties & Responsibilities:
Field & Client Experience
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Establishes andmaintainscredible, professional, and effective communication with field partners and clients, including responding to case inquiries, appeals, and placement-related questions.
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Provides guidance and support to the Financial Network and Financial Representativesregardingcase underwriting, risk assessment, and related underwriting considerations.
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Reviews and responds to prescreen inquiriesin accordance withestablished underwriting practices and service expectations.
Underwriting
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Analyzes and appraises Long Term Care insurance applications; approves, classifies,modifies, or declines applications based on established underwriting guidelines and sound risk judgment.
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Independently reviewsapplications andappliesLong Term Care underwriting standards, product knowledge, and risk selection principles with limited guidance as needed.
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Evaluates medical, functional,andcognitive information to assess morbidity risk and determine the best appropriate offer.
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Demonstrates ongoing learning and adaptability through the effective adoption of new underwriting practices, tools, and processes.
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Underwritesapplications whilemaintainingexpected morbidity outcomes, providing active case and requirement management, and delivering a customized service experience.
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Communicates and negotiates with field partners to explain modified or declined underwriting decisions and support policy placement whenappropriate.
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Applies sound medical, functional, and cognitiveunderwriting assessment skills andidentifiespractical solutions to support policy placement whenappropriate.
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Usesthe most effective available resources to obtain necessary information, including medical records, digital health data, direct contact with the applicant, and communication with third-party advisors asappropriate.
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Consults with peer reviewers, medical resources, and technical staff on complex cases, as needed.
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Meets established quality, service, cycle time, and production expectations whilemaintainingunderwriting integrity.
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Resolves case-related issues and escalations, seeking guidance as appropriate based on case complexity and authority level.
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Partners with Underwriting Support tofacilitateeffective case management andtimelycompletion of underwriting requirements.
Cross-functional leadership
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May serve as an underwriting representative on product, process, or operational improvement initiatives in collaboration with functional partnersparticipatinginadditionalprojects as assigned.
Qualifications
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Bachelor’sdegree oran equivalentcombination of education and relevant experience is preferred.
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Minimum of 1.5 years of traditional underwriting experience; Long Term Care underwriting experience is strongly preferred.
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Strong analytical skills