AVP, Underwriting Major Group

BlueCross BlueShield of South Carolina•Columbia, SC

3d•Onsite

About The Position

As the AVP of Underwriting Major Group, you will be responsible for the selection of acceptable health underwriting risks and insuring that prospective and renewal business is maintained at adequate and competitive rate levels. The AVP of Underwriting Major Group directs all activities associated with underwriting and policy processing for the company. You will also be responsible for the strategic and tactical management of the underwriting staff as well as maximizing premium production while minimizing financial risk, and underwriting of new/renewal contracts. Decisions made in this position have the opportunity to produce income and/or prevent loss.

Requirements

Bachelor's degree
10+ years Underwriting experience.
3 years Management experience or equivalent military experience in grade E5 or above (may be concurrent).
Knowledge of insurers/competitive practices preferably in the following: underwriting of large group, small group, individual classes, dental, ASO, and stop loss.
Knowledge of the operations of the corporation and its various subsidiaries.
Understanding of advanced mathematics and rating methodologies.
Ability to understand medical records information and their impact on underwriting.
Knowledge of South Carolina as well as federal insurance laws and regulations.
Excellent communication (verbal and written), presentation, and interpersonal skills.
Ability to exercise good judgment with a capacity of communicating with a diverse range of individuals.
Proven ability to organize and manage multiple priorities.
Strong analytical, strategic planning, and decision-making skills.
Ability to adapt to ever changing business environment/priorities.
Proficiency in word processing and spreadsheet software.

Nice To Haves

10+ Years-Underwriting experience to include Large Group, Small Group, Individual, and Self Insured.
Exceptional understanding of risk and health delivery systems.
Experience working national accounts.
Microsoft Office, with proficiency in Excel.
Excellent communication, presentation, decision-making and analytical skills.
Demonstrated problem-solving skills, understanding of key health care financial and operational metrics.
Strong financial acumen.
Strong grasp on all aspects of the funding arrangements to include pharmacy and stop loss.
Understanding of the Blue system and Blue Card.

Responsibilities

Manages the Large Group Underwriting department.
Oversees the fully insured and self-insured underwriting activities of Large Group products. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing.
Manages and oversees Stop Loss Underwriting department. Interfaces with external stop loss carriers and MGU's. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, and policy processing.
Manages the Dental Underwriting department.
Oversees the fully insured and self-insured underwriting activities of Individual products. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing.
Develops and updates underwriting rules and regulations applicable to regional underwriting, ensuring compliance with appropriate state and federal regulations.
Develops and maintains external agency relationship strategies to foster long term relationships, consistent growth, and knowledge of competitive underwriting practices.
Works closely with internal functional areas (Finance, Claims, Membership, Marketing, Premium Audit) to achieve company goals.