Underwriting Technical Specialist I/II

<strong>AF Group (Lansing, Mich.) and its subsidiaries are a premier provider of innovative insurance solutions. Insurance policies may be issued by any of the following companies within AF Group: Accident Fund Insurance Company of America, Accident Fund National Insurance Company, Accident Fund General Insurance Company, United Wisconsin Insurance Company, Third Coast Insurance Company, or CompWest Insurance Company.</strong>

Lansing, USA

AF Group

<p class="p1"><strong>AF Group&rsquo;s focused and passionate team uses industry-leading best practices, analytics and resources to manage risk and minimize loss for our policyholders while strengthening businesses with our valued independent agent partners.</strong></p> <p class="p1"><strong>We strive to continuously increase the long-term value of our organization by outperforming our industry peers and fostering a culture of underwriting and claims excellence.</strong></p> https://www.afgroup.com/

keywords: summary,job description,work environment,analysis,customer service,support,management,audit,data,education & experience,experience - uts ii,knowledge,skills


Competitive Compensation and Benefits Package

Overview: Primarily responsible for providing customer service and underwriting technical support to agencies and policyholders related to underwriting rules, procedures and regulations, policy, and audit information.&nbsp;Reviews &amp; approves/declines endorsement requests and responds to bureau criticisms to maintain policies and stay in compliance with Accident Fund&rsquo;s and bureau rules and regulations. Verifies coverage for current policy and/or additional named insureds/DBA&rsquo;s/locations. Completion of experience rating promulgations or Loss Pricing &amp; Projection Model. Mentors PPRs &amp; CBR&rsquo;s with basic questions and policy information. Contacts include state rating bureaus, Service Center staff, Business Development Consultants, Business Development Managers, Corporate Underwriting, Finance Department, Claims Department, agents, and policyholders.<br /><br /> <p><strong>WORKING CONDITIONS:</strong></p> <p>Work is performed in an office setting with no unusual hazards.&nbsp;</p> <p><strong>REQUIRED TESTING:&nbsp;</strong></p> <p>Intermediate Windows, Basic Word and Intermediate Excel, Typing 30 wpm, Proofreading, Math, 10-Key, Reading Comprehension.</p>
Responsibilities: <ul> <li>Respond to basic policy inquiries and provide direct customer service to agents. Interpretation, application, and communication of rating algorithms, the policy contracts, workers' compensation laws, manual rules, experience rating calculations, rating effective dates and multiple and conflicting state factors/rules.&nbsp;</li> <li>Analyze agent requests, research multiple state manuals and laws to advise and/or coordinate the appropriate coverage/changes needed for a given exposure and obtain required documentation. Review and approve/decline endorsement requests that include but are not limited to adding/removing a new state/name/entity/location, changes in ownership, payroll, class codes, credits, Waivers of Subrogation, Wrap-up/OCIP/CCIP, Alternate Employer, Federal/Risk IDs, Officers, payment plans, and policy cancellation.&nbsp;</li> <li>Analyzes policy structure, endorsements, and amendments as well as research State &amp; Rating Bureau web sites to verify coverage for an entity or location for internal departments.&nbsp;</li> <li>Provide basic technical support to agents with their online tools.&nbsp; &nbsp; &nbsp;</li> <li>Trains new agents and new agency employees on the use of company specific automation systems. Research and coordinate problem resolution and direct responses to agents, policyholders and regulatory entities regarding customer complaints, errors, and service issues.&nbsp;</li> <li>Explains and emphasizes benefit of workers&rsquo; compensation insurance products and services to customers.&nbsp;</li> <li>Works with internal departments to resolve problems and maintain company relations. Make appropriate decisions based on interpretation of policies and procedures.</li> <li>Investigate and determine appropriate response to Bureau, NCCI, internal and external audit inquiries.</li> <li>Negotiate and direct action for resolution to policy change requests and bureau requests. &nbsp;</li> <li>Manage individual workflow inventory within Notes &amp; Tickets to achieve specific time service goals.&nbsp;</li> <li>Research and analyze history of policyholder (i.e., financial, safety, loss experience, &amp; payrolls) for multiple operating units.</li> <li>Analyze past losses and payroll data to determine variances of a modification factor or enter into a database for calculation of an updated factor or Loss Pricing &amp; Projection.</li> <li>Compose written correspondence, as needed, with internal and external customers.&nbsp;</li> <li>Reviews audit findings to determine if retroactive or current changes need to be made to policy and coordinate with agent to obtain necessary documentation.</li> <li>Correct policy structures or cancels coverage based on audit findings in order to stay in compliance with Company&rsquo;s and/or bureau rules and regulations.</li> </ul> <br /> <p><strong>Additional for UTS II:</strong></p> <ul> <li>Actively engages in the identification of solutions for multiple or cross-functional business areas. Has an understanding of the direction of the overall industry and evaluates the related impacts. &nbsp;</li> <li>Evaluate and decide in a timely manner which policies require further review and coordinate resolution with internal departments and agency staff.&nbsp;</li> <li>Respond to basic and complex policy inquiries and provide direct customer service to Agents by assisting with interpretation, application, and communication of rating algorithms, the policy contracts, workers' compensation laws, Manual Rules Experience Rating calculations, Rating Effective Dates and multiple and conflicting state factors/rules.&nbsp;</li> <li>Identifies impacts to exposure that may change desirability of risk as it relates to endorsement requests and/or audit findings.</li> <li>Manage team workflow inventory within Notes &amp; Tickets, Portal and Policy Center to achieve specific time service goals.&nbsp;</li> <li>Train and mentor Underwriting Technical Specialist I&rsquo;s.</li> </ul> <br /> <p><em>This description identifies the responsibilities typically associated with the performance of the job. The percentage of time in any responsibility may vary between positions. Other relevant essential functions may be required.</em></p>
Requirements: <p><strong>EDUCATION REQUIRED:&nbsp;</strong></p> <p><strong>INTERNAL CANDIDATES</strong></p> <ul> <li>Associate degree in Business, Insurance or other insurance-related designation(s).&nbsp;</li> </ul> <p>AND</p> <ul> <li>Two (2) years&rsquo; experience with Accident Fund Insurance Company of America as a Policy Processing Representative II or Customer Billing Representative.&nbsp;</li> </ul> <p>OR&nbsp;</p> <ul> <li>Two years&rsquo; experience applying laws, regulations, guidelines, and/or policies that would impact underwriting, financial, legal and/or claims outcomes.</li> </ul> <br /> <p><strong>EXTERNAL CANDIDATES</strong></p> <ul> <li>Bachelor's degree Business, Insurance or other insurance related designation(s).&nbsp;</li> </ul> <p>AND</p> <ul> <li>Two years&rsquo; experience applying laws, regulations, guidelines, and/or policies that would impact underwriting, financial, legal and/or claims outcomes.</li> </ul> <br /> <p><strong>Additional Experience required for UTS II:</strong></p> <p><strong>INTERNAL CANDIDATES</strong></p> <ul> <li>One year as an Underwriting Technical Specialist I with demonstrated technical decision making and interpretation of policy contract language and underwriting knowledge.&nbsp;</li> <li>Experience with interpretation of and application of manual rules across multiple states and regulatory authorities.&nbsp;</li> </ul> <br /> <p><strong>EXTERNAL CANDIDATES&nbsp;</strong></p> <ul> <li>Bachelor&rsquo;s degree in business, insurance or related field.&nbsp;</li> </ul> <p>And&nbsp;</p> <ul style="list-style-type: disc;"> <li>Experience working with underwriting/bureau rules, procedures, policy and audit information and research of business elements pertinent to policy structure; reviewing and approving endorsement requests or customer service experience resolving premium billing and premium transaction activities for agents and policy holders.&nbsp;</li> </ul> <br /> <p><strong>SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:</strong></p> <ul> <li>Ability to work effectively in a multi-functional and multi state business unit.</li> <li>Knowledge of insurance, financial, or other regulatory rules, laws, or procedures.</li> <li>Knowledge of insurance, financial, or other regulatory terminology and concepts.</li> <li>Excellent interpersonal, verbal, and written communication skills and ability to interpret and explain laws, regulations or policy contract language.&nbsp;</li> <li>Excellent organizational skills and ability to prioritize work.</li> <li>Ability to manage multiple priorities and meet established deadlines.</li> <li>Ability to work with minimal supervision.</li> <li>Knowledge of computers and spreadsheet software with accurate input ability of 30 wpm.&nbsp;</li> <li>Basic knowledge of word processing.&nbsp;</li> <li>Strong analytical and problem-solving skills.</li> <li>Knowledge of multi-line telephone system.</li> <li>Ability to process transactions on core processing systems.</li> <li>Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.</li> <li>Math skills with the ability to use a ten-key adding machine.</li> </ul> <br /> <p><strong>Additional SKA&rsquo;s for UTS II:&nbsp;</strong></p> <ul> <li>Ability to recognize and negotiate solutions for unique requests.&nbsp;</li> <li>Knowledge of state specific underwriting and audit rules &amp; concepts; workers' compensation classifications and procedures; and application of manual rules across all core and non-core states and regulatory authorities.</li> <li>Ability to think proactively and independently with a long-term perspective in addressing customer&rsquo;s needs.&nbsp;</li> <li>Demonstrated technical knowledge of policy exposures, implications of changes, and identifying unique situations.&nbsp;</li> <li>Knowledge of Accident Fund/3CU/CompWest products and services.&nbsp;</li> </ul> <br /> <p><strong>ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE AND/OR ABILITIES PREFERRED:</strong><em>&nbsp;</em></p> <ul> <li>Successful completion of business writing course.</li> </ul>