Medical Stop Loss Underwriting Consultant

Job not on LinkedIn

🔥 18 minutes ago

⚜️ Louisiana, North Carolina, +3 more states – Remote

⚜️ Louisiana – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote ☕ Washington – Remote

💵 $94.2k - $151k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Underwriter

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Highmark Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1852

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

💰 $5M Grant on 2021-05

Healthcare Insurance • Non-profit • Social Impact

Highmark Health is a healthcare company committed to reinventing the healthcare system and improving its services for everyone. The organization offers a broad range of career opportunities across various fields such as clinical care, technology, finance, and marketing. Highmark Health emphasizes diversity, equity, and inclusion in its workforce, creating a supportive environment for employees from all backgrounds. The company has been recognized for its commitment to disability inclusion, diversity, and military-friendly employment. As an independent licensee of the Blue Cross Blue Shield Association, Highmark Health strives to create remarkable healthcare experiences for its customers and employees alike.

📋 Description

• Responsible for underwriting new and renewal business within an assigned block • Use rating manual, experience module and clinical expertise to create pricing that drives P/L, renewal metrics and new business sales for assigned block • Collaborate with Sales, Underwriting and Clinical to develop and implement pricing actions that will help HMIG meet financial targets • Train, coach and provide experiences to lower level staff with the purpose of expanding consultative best practices throughout the department • Utilize client and market knowledge to expand/enhanced Underwriting Guidelines, processes and tools by incorporating best practices • Monitor overall block performance and report on emerging financial trends • Develop strategies and tactics to move case level and block results to meet targets • Act as subject matter expert to support Sales' negotiations to renew existing clients and enroll new business

🎯 Requirements

• Required Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business Administration/Management or Computer and Information Science • 10 - 15 years in Underwriting • 10 - 15 years in the Insurance Industry • Preferred Certified Employee Benefit Specialist (CEBS) • Preferred Health Insurance Associate (HIA) • Preferred Managed Healthcare Professional (MHP) • Preferred Society of Actuaries