Underwriting Specialist I

Cambia Health Solutions

. Perform outreach to identified members and providers via phone, email or letter to encourage health care visits .

Posted 11/10/2026full-timeRemote • United StatesJunior💰 $20 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in managing and maintaining records, ensuring compliance with MTM and HIPAA Privacy standards, and effectively communicating with members and providers. Capable of utilizing Microsoft Office and complex systems while maintaining high accuracy and productivity standards.

Highest-signal resume keywords

Medical Office ExperienceCustomer Service SkillsMicrosoft Office ProficiencyDocument ManagementHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Document ValidationData EntryApplication ProcessingTyping 30 WPMRecord Keeping

Soft Skills

Effective CommunicationSound JudgmentOrganizational SkillsInitiativeRelationship Building

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OutlookAI Tools

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

Medical TerminologyMTM StandardsHIPAA Privacy StandardsCall Center Experience

About the role

Key responsibilities & impact

Perform outreach to identified members and providers via phone, email or letter to encourage health care visits
Prepare and validate processed files for imaging and retention
Coordinate document retention and storage
Manage and maintain records of received documents
Produce application files from electronic sources
Enter document numbers for approved files into the tracking system
Validate and enter application approval and acceptance information
Release files to Membership for activation
Produce correspondence and audit outgoing correspondence
Research and document miscellaneous correspondence received by the department
Make, receive and document phone calls
Apply changes to Underwriting, State or Federal policies to ensure current requirements are met
Track production statistics
Comply with MTM and HIPAA Privacy standards

Requirements

What you’ll need

High School diploma or GED
1 year medical office, customer service or call center experience, or equivalent combination of education and experience
Ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner
Ability to type 30 wpm with 95% accuracy
Computer skills, including Microsoft Office (Word, Excel, Outlook) or comparable software
Ability to learn and use complex systems
Ability to organize, prioritize and manage multiple tasks
Ability to establish effective working relationships with coworkers and customers
Ability to maintain attendance and production standards at or above department standards
Effective oral and written communication skills
Knowledge of medical terminology preferred
Experience with AI tools and technologies highly desired
Must have access to a personal mobile device for MFA
Background check required

Benefits

Comp & perks

Competitive salary
Market-leading 401(k) with a significant company match
Bonus opportunities
Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
Annual employer contribution to a health savings account
Generous paid time off
10 company-paid holidays
Retirement plan with company match and potential discretionary contribution based on company performance, with no vesting period
Up to 12 weeks of paid parental time off, subject to eligibility
Award-winning wellness programs that reward participation
Employee Assistance Fund
Commute and parking benefits
Work-from-home options for most roles
Employee resource groups
Cambia-supported community outreach opportunities
Wired internet connection requirement for work-from-home option
Personal mobile device access for Multi-Factor Authentication