Group Underwriter II (Stop Loss)

Horizon Blue Cross Blue Shield of New Jersey•Newark, NJ

1d•$79,100 - $105,945

About The Position

This position provides Rating & Underwriting services and support to the Sales team and is responsible for producing rates for the 100+ markets. The role supports Rating & Underwriting services for Stop Loss products.

Requirements

Minimum high school diploma or GED.
At least three years of experience in the health insurance industry, including Rating/Underwriting experience.
Knowledge of underwriting principles, benefit offerings, alternate financial mechanisms, and rating methodology.
Proficiency using personal computers and supporting software in a Windows-based environment, including Microsoft Word, Excel, and PowerPoint.

Nice To Haves

Bachelor's degree, preferably in Math, Statistics, or Accounting.
Analysis experience.
Stop Loss underwriting experience.
Knowledge of Horizon BCBSNJ products.

Responsibilities

Develop and issue proposal rates for groups of 100+ and experience-rated proposals.
Develop and issue experience-rated renewals for groups of 100+.
Develop and issue renewal and proposal rates for alternately funded groups.
Approve Group Enrollment Information (GEI) and Benefit Information Forms (BIFs), where applicable.
Research rate and benefit inconsistencies and issue corrections and/or recommendations.
Assemble data, produce ERISA 5500 reports and settlements, and issue them to Sales, where applicable.
Make decisions about offering special financial arrangements to groups and monitor outcomes as required.
Attend meetings with groups and brokers to discuss renewals and proposals and make recommendations.
Maintain and update monthly financial reports required for Enterprise Operations.
Perform other duties as assigned by management.