Frank Gonzales

Supervisor, Underwriting @Priority Health

Accomplishments:Facilitated statewide training for sales/product/underwriting staff ASO launch and implementationExperience Rating creation and launchMAPD creation and implementation of underwriting guidelines Manage East Region Underwriting staff including staff out of stateImproved Departmental Gallup score from 3.61 to 4.12Implemented New Business Underwriting Summary to expedite the reviewing process for Finance leadershipCreated a database to track and report weekly and monthly status reports on new business proposalsOngoing Roles:Direct involvement in sales for strategic accounts and prospects, and for complex proposalsReview and approve fully funded proposals for accuracy, risk assessment and determine appropriate pricingDevelop proposals to assist team in meeting turnaround times and ensure that the best and most efficient practices are being utilizedConsult with group underwriters and staff in order to promote accuracy, creativity and decision making while working on daily group underwriting tasks. Includes area of opportunity/concern at the micro level while reviewing the on-going financial results of group accountsCreate and deliver annual financial reporting on MLR, membership, predictive modeling and future expected cost Calculate and recommend final rates for renewals and prospects requested by Sales. Keep clear lines of communication with Sales staff to assure competitive issues are considered when pricingAccurately report renewal and prospect monthly financial resultsStay informed with respect to Health Care ReformParticipate in inter/intra departmental projectsCreate and Provide ad-hoc reports Improve departmental efficiencySupportive and consultative to staff