Manager

Company: SET SEG Insurance Services Agency
Location: East Lansing
Posted on: March 13, 2023

Job Description:

Reports To: Chief Employee Benefits Program Administrator Location: East Lansing, MI Department: Employee Benefit Services The Manager of Employee Benefits (EB) Underwriting will provide extensive industry expertise and analytical support to SET SEG's sales and consultative work with Michigan public schools. The Manager of EB Underwriting will evaluate and optimize health plan expenses and plan performance, support face-to-face client and prospect meetings, and help design innovative risk management programs unique to SET SEG. This position will also guide and oversee the design of reports and tools to convey complex information in a simplified, consistent, and repeatable format that provides practical insights and recommendations for all employee groups including executive leadership. The Manager of EB Underwriting will work with single employer cases and state-wide analysis of trends. WHO WE ARE School Employers Trust (SET), which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees. Two years later, its partner organization School Employers Group (SEG) was formed to administer compensation and fringe benefits for SET. As schools were faced with more challenges related to insurance, SEG evolved and grew into a company that provides workers' compensation and property/casualty services for Michigan public schools. Today, SET SEG continues to expand and find creative ways to meet the specialized needs of its members. This, coupled with a superior member experience, is why SET SEG has maintained its position as an industry leader in the school insurance market. We value those who proactively solve challenges, simplify the complex, thrive in a fast-paced setting, have a customer-first mentality, and seek a collaborative and inclusive work environment. We are also listed on the Business Insurance Best Places to Work. We offer 100% employer paid insurance (medical, dental, and vision), Paid Time off (PTO), and paid parental leave. Our passion is delivering peace of mind to Michigan public schools and we look for team members who are motivated by our cause. To learn more, visit:setseg.org. WHO YOU ARE You are energized by working with a collaborative team and industry peers to support Michigan public schools through their challenges. You seek understanding and are motivated to tackle projects and problems with the customer in mind. You anticipate needs and preempt challenges and concerns, delivering increasingly relevant customer experiences over time. You value a culture that is rooted in mutual respect, where you can learn from different perspectives and roles. You are a detail-oriented professional with five or more years of medical underwriting experience and the demonstrated knowledge of self-funding benefit plans. You have strong technical skills as well as excellent interpersonal and communications skills. Primary Responsibilities: Manage the Renewal/Marketing Process including but limited to: Gather vendor information and/or information from clients for marketing purposes Organize data into NFP format Prepare RFP (request for proposal) and send to carriers Prepare financial reports to be used in monthly and quarterly reviews Understand, interpret and articulate carrier and vendor responses to clients Develop effective relationships with client and carrier contacts Perform technical review of insurance contracts and funding arrangements Assist with the negotiation of premium rates and benefit features Write client executive summaries noting observations and findings Attend internal client strategy meetings Evaluate, quantify, and communicate healthcare plan risk and performance data to executive leadership and provide recommendations in strategic planning sessions Perform claim performance funding analyses and modeling Analyze releases of data under Michigan Public Acts 106 of 2007 and 579 of 2018 Design ad hoc and systematized reports to convey health plan information to internal and external customers Develop illustrative rates for self-insured programs, carveouts and employer funding of clinics/HSAs/HRAs Analyze differences in excess contracts terms and conditions and specific decease/condition carve out coverages Annual Employee Contribution Analysis for clients, including but not limited to defined contributions, per dependent cost structure, and wellness credits, as directed by the Account Management team and client needs Consult on medical plan design options, network participation and alternative claim pricing models Monitor compliance with carrier reporting requirements include in insurance contracts Assist with carrier rate negotiation Perform IBNR and claim lag analyses Analyze plan renewals and rate exhibits Analyze school compliance with the "Publicly Funded Health Contribution Act", PA 152 of 2011 Develop risk management programs, including using risk pools, captives, and third parties Support external sales and consulting staff by providing analysis and reports to be shared with schools Compose school-friendly executive summaries and commentary on specific and general medical claim findings Use third-party tools to augment health plan performance analysis and communication Performs other duties as assigned Required Qualifications: Bachelor's degree in math or science-related field or equivalent Five years of medical underwriting experience with at least one carrier, TPA, or consulting firm Demonstrated knowledge of self-funding benefit plans In-depth understanding and ability with Microsoft Excel-- and other specialized data analysis tools Strong technical skills to enable efficient analysis Ability to execute work with an effective balance between urgency and precision Strong interpersonal and communication skills to address various audiences internally and externally Ability to understand and adapt to Michigan public school culture Ability to prioritize deadlines, customer service, and quality measures in dynamic environment Desired Qualifications: National Association of Health Underwriters, Registered Health Underwriter (RHU) certification or Chartered Healthcare Consultant (ChHC) Physical Demands / Work Environment Several hours per day at a sit/stand desk, average mobility to move around an office environment; able to spend several hours per day at a computer; travel to various locations throughout Michigan. Punctual, regular, and consistent attendance is required. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Employment Type: Full Time Years Experience: 5 - 10 years Bonus/Commission: No

Keywords: SET SEG Insurance Services Agency, East Lansing , Manager, Executive , East Lansing, Michigan