Group Rating Analyst

Summary

Blue Cross and Blue Shield of Kansas is a health insurance company committed to supporting the health and well-being of Kansans. The Group Rating Analyst executes rating and underwriting for employer groups, supports production rating and quality checking, and collaborates with Sales and Underwriting on pricing, contracts, reporting, and inquiries.

Responsibilities

• Perform production rating for self-funded and fully insured employer groups, including Administrative Services Only (ASO), Level-Funded, and Merit, groups, ensuring accuracy and adherence to rating guidelines
• Assist in the quality checking process for production, ensuring accuracy and consistency
• Support the development and pricing of associations/AHPs, maintaining compliance with rating methodologies
• Train Group Rating team members and Sales staff on rating policies, methodologies, and system functionalities
• Complete and process Group Rating Information Tracker (GRIT) options, contracts, and related documents for enrolled and prospect groups in support of Sales
• Prepare and deliver prospect quotes using GRIT, ensuring alignment with corporate rating formula and underwriting standards
• Respond to inquiries from Sales, providing clear and accurate information regarding rating methodologies and group pricing
• Facilitate the organization and maintenance of self-funded group contracts
• Track and maintain records of prospects, contracts, concessions, and other key reporting elements, ensuring accurate documentation and accessibility

Skills

• Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment
• High school diploma or equivalent required
• Minimum of 3 years of experience in group rating, underwriting, or a related analytical role within health insurance required
• Strong analytical and problem-solving skills to ensure accuracy in rating and pricing
• Detail-oriented with the ability to conduct quality checks and maintain consistency in rating methodologies
• Excellent communication skills to effectively support Sales and Underwriting teams
• Ability to interpret and apply rating methodologies for a variety of funding arrangements, including self-funded and fully insured groups
• Proficiency in managing contracts, documentation, and tracking reports
• Strong organizational skills to manage multiple tasks and meet deadlines
• Ability to work collaboratively within a team-oriented environment
• Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems
• Bachelor's degree in Mathematics, Statistics, Business, Finance, or a related field preferred
• Experience supporting sales or broker relationships in an underwriting or pricing capacity preferred
• Familiarity with different funding arrangements, including self-funded and level-funded plans, is preferred
• Knowledge of health insurance underwriting principles and regulatory requirements preferred

Qualifications

Must Haves

• Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment
• High school diploma or equivalent required
• Minimum of 3 years of experience in group rating, underwriting, or a related analytical role within health insurance required
• Strong analytical and problem-solving skills to ensure accuracy in rating and pricing
• Detail-oriented with the ability to conduct quality checks and maintain consistency in rating methodologies
• Excellent communication skills to effectively support Sales and Underwriting teams
• Ability to interpret and apply rating methodologies for a variety of funding arrangements, including self-funded and fully insured groups
• Proficiency in managing contracts, documentation, and tracking reports
• Strong organizational skills to manage multiple tasks and meet deadlines
• Ability to work collaboratively within a team-oriented environment
• Proficiency in Microsoft Office applications (Excel, Word, Outlook, Teams) and Underwriting systems

Nice to Haves

• Bachelor's degree in Mathematics, Statistics, Business, Finance, or a related field preferred
• Experience supporting sales or broker relationships in an underwriting or pricing capacity preferred
• Familiarity with different funding arrangements, including self-funded and level-funded plans, is preferred
• Knowledge of health insurance underwriting principles and regulatory requirements preferred

Benefits

• Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Ongoing training and development programs
• Flexible work environment
• 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
• Eligible to work remote, hybrid or onsite in accordance with the Telecommuting Policy