Stop Loss Underwriter Or Senior Stop Loss Underwriter

Stop Loss Underwriter or Senior Stop Loss Underwriter

Work Remotely in the United States

Primary Job Purpose

Evaluates each assigned group's risk and attaches the appropriate rate. Underwrites a profitable book of business and services all business to target profitability objectives and marketing objectives.

General Functions and Outcomes

Stop Loss Underwriter

• Ensures that the risks are appropriate and consistent with the underwriting guidelines and policies.

• In conjunction with the nurse, reviews large or ongoing claim concerns and adjusts rates or sets lasers appropriately.

• Actively involved with testing new rating, underwriting and front-end systems.

• Calculates the reserve for unreported and unpaid claims by analyzing the group's utilization and run out patterns, enrollment trends and other factors applicable to the group.

• In calculating rates, reviews group's prior experience, benefit utilization patterns, group size, age/gender composition, group's plan of benefits (past and current), type of industry and administrative costs.

• Prepares marketable rates for optional benefits on existing and prospective contracts by analyzing statistical data to determine a balance between income and costs.

• Prepares rates for contract renewals, proposals, and benefit modification by analyzing statistical data using professional experience and subjective judgment, relying heavily on analysis of base period projections and linear regression.

Additional General Functions and Outcomes for Senior Stop Loss Underwriter

• Actively involved with analyzing statistical data and performs the more complex rate analyses, developing rates for existing and prospective contracts.

• Supports management reporting efforts and the development of automated rating and analysis tools.

• Works closely with members of the Sales Department to answer questions and/or resolve issues regarding Stop Loss Underwriting.

Minimum Requirements

• Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.

• Highly developed business sense (finance, accounting, economics, risk management)

• Proven attention to detail and accuracy in data entry and other administrative tasks.

• Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.

• Ability to organize, prioritize and manage multiple tasks with little supervision.

• Demonstrated ability to establish effective working relationships with coworkers and customers and to work well both independently and on a team.

• Ability to communicate effectively both orally and in writing.

• Knowledge of medical terminology.

• Demonstrated strong problem-solving skills and ability to investigate and resolve complex issues.

• Demonstrated ability to consistently meet productivity and quality standards with minimal support.

• Demonstrated ability to think analytically and apply analytical techniques.

Additional Minimum Requirements for Senior Stop Loss Underwriter

• Demonstrated competency in reading the marketplace with regard to rate sensitivity.

• Demonstrated ability to think analytically, apply analytical techniques and to provide in-depth analysis and recommendations using critical thinking and sound judgment.

• Advanced demonstrated competency in explaining complex mathematical and abstract concepts to lay personnel.

• Demonstrated competency in project management and ability to oversee work programs.

• Comfortable working with complex computer software systems.

• Ability to maintain a positive professional interaction with both internal and external customers.

Normally to be proficient in the competencies listed above:

Stop Loss Underwriter would have a Bachelor's Degree in business, math, statistics or related discipline and 2 years of advance experience in an underwriting related field or equivalent combination of education or experience.

The Senior Stop Loss Underwriter would have a Bachelor's Degree in business, math, statistics or related discipline and 5 years of advance experience in an underwriting related field or equivalent combination of education or experience.

Work Environment

• No unusual working conditions.

• Work primarily performed in office environment or home office.

The expected hiring range for a Underwriter Stop Loss is $74,800.00 - $101,200.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 12.5%.  The current full salary range for this role is $70,000.00 to $115,000.00.

The expected hiring range for a Senior Underwriter Stop Loss is $91,000.00 - $123,100.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 18.75%.  The current full salary range for this role is $85,000.00 to $140,000.00.

#LI-remote

Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:

• medical, dental, and vision coverage for employees and their eligible family members

• annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)

• paid time off varying by role and tenure in addition to 10 company holidays

• up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)

• up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)

• one-time furniture and equipment allowance for employees working from home

• up to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.