Stop Loss Underwriter III

October 12, 2024

Industry: Private

Employment Type:- Full Time

Work Hours:- 8 Hours

Locations:- USA

Full Job Description:-

Summary

Underwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations, (Third Party Administrators) TPAs, Brokers, Hospitals, and BlueCross BlueShield organizations and service all business to targeted profitability and service objectives. Utilizing effective risk selection techniques and maintaining financial discipline, secure optimum rates and terms for each policy while maintaining an appropriate loss ratio.

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Description

Receive specific case proposal requests and review for completeness, reject when necessary and gather missing information. Underwrite cases including setting rates, aggregate factors, and coverage terms/conditions according to negotiated MGU agreements with insurers/reinsurers.

Design stop loss coverage and introduce services to best meet needs of client. Emphasize client relations in building up block of profitable business. Promote MGU services and benefits at every opportunity.

Service existing book of business including, but not limited to, tracking TPA specific and aggregate loss ratio, tracking average renewal rate increases compared to average loss ratio, and determining TPAs’ level of involvement in developing their own managed care initiatives.

Review amendments to plan documents to determine rate or coverage implications. Develop renewal terms for in-force cases which comply with company renewal standards and carrier/reinsurer guidelines and limits.

Follow up on pending proposals and renewals to determine final outcome and reinforce interest in writing the business. Maintain open communication with management, marketing, sales, claims, and other appropriate areas.

Assists less experience underwriters.

Required Education: Bachelor's
Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
Required Work Experience: 5 years underwriting/marketing experience with managed care organizations, carriers, and managing underwriters, primarily in the employer stop loss market.
Required Skills and Abilities: Strong analytical, decision-making, time management, and advanced math skills. Excellent verbal and written communication and interpersonal skills. Good judgment. Advanced knowledge of group insurance, managed care, and direct medical claims products. Ability to handle confidential or sensitive information with discretion. Extensive knowledge of underwriting/risk principles and their application.
Required Software and Tools: Standard office equipment. Microsoft office suite.
Work Environment: Typical office environment. Some travel required.

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Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.