Michael D. Kay Email and Phone Number

Responsible the underwriting of health benefit plan data, while assessing frequency of claims to produce accurate proposals. Use established underwriting criteria and guidelines to determine proper rating for employer groups and prospects. Work closely with The Difference Card sales consultants and recommend alternative pricing options and plan design changes based on group-specific utilization and claims data and trends.

Assisted SVP with developing, documenting, and implementing risk mitigation strategies and medical underwriting methodologies, processes, and tools for use by Health & Benefits underwriters. Assist the automation of field submission processes, escalation strategy and leveraging of internal/external resources to meet business objectives. Responsible for the management of department staff and the underwriting of prospective clients through the execution of proper risk mitigation strategies and underwriting methodologies to achieve company and carrier specific targeted loss ratios and profitability of the overall book of business.• Tracking, analyzing, and weekly reporting on key underwriting metrics.• Facilitated API integration with technology vendor.• Created Jr. Underwriter position to balance workload and enhance productivity and streamline submission processes.• Monitored daily workflow to ensure TAT goals were achieved.

Managed the Engage Agency Underwriting team, reporting directly to the Agency President. Supported risk management activities associated with the Aetna group health and welfare benefit plan design, its underwriting, maintenance, service and compliance. * Facilitated development of company’s underwriting guidelines and ongoing enhancements.* Played integral role in testing and development of new underwriting/proposal tool that enables entry of data and generation of reports for prospects. * Contributed to the addition of approximately 7,500 new worksite employees (WSEs) annually. * Partnered with Agency Consultants to devise strategies for streamlining processes and expediting proposal delivery to sales executives.* Prepare proposals, create client presentations, and facilitate all aspects of sales process, including client implementation.* Oversaw underwriting team, handling complex issues and escalations.

Managed an underwriting team collaborating with field sales representatives nationwide to underwrite new business for Aetna health plan. Interact with VP of Benefits, Director of Benefits, National Benefit Manager, VP of Human Resources, and Director of Compliance to facilitate effective underwriting. Support Oasis Outsourcing, Inc., PEO client encompassing workers compensation, payroll administration, and benefits management. Perform benefits analysis. Assess risks. Prepare quotes for services. Manage book of business comprised of 20 clients producing $250,000 in annual revenue. Consult with clients regarding invoicing, benefit administration, and renewals. Lead client projects, such as client mapping, re-tiering and analyzing loss ratios.

Devised strategies to drive growth, retention, and company profitability. Interact with commercial lines account executives and Premier Agents Group division to generate new health, dental, life, disability, and long term care business.

Developed and managed Human Resources Department’s policies and benefits plans, including health, life, disability, and retirement programs for 10,000+ multi-state employees. Coordinated annual open enrollment meetings. Served as primary contact for national benefit consultants, vendors, and HR/benefit managers spanning 6 states. Chaired parent company’s 401k and Benefits Committee. Facilitated smooth transition following acquisition and through company’s relocation to Georgia.

Managed employee benefits plans for clients with up to 6,000 employees. Consulted clients in mid-market insured and self-insured group health, dental, life, and disability plans. Trained and supervised benefits staff. Delivered client presentations and reports. Continuously studied market trends and introduced competitive products to existing clients, including HRAs, HSAs, and voluntary products. Conducted enrollment meetings for major clients. Recruited by company to return in same role for period: 2006 to 2007. * Avoided $1 million in claims cost by implementing new health plans for client with 3,000+ employees. * Liaised between clients and carriers, including local and regional TPAs, to implement new plans that served as foundation for company’s profitability. * Increased client confidence by enhancing look and language of semi-annual review materials. * Generated annual revenue of $1,250,000.