Group Underwriter II (Stop Loss)

Horizon Healthcare Services • Newark, NJ

2d

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.

The Group Underwriter develops and issues proposals and renewals, reviews enrollment and benefit information, researches rate and benefit inconsistencies, and prepares applicable ERISA 5500 reports and settlements. The position may make decisions about special financial arrangements and monitor their outcomes, participate in meetings with groups and brokers, and maintain monthly financial reports for Enterprise Operations. Other duties may be assigned by management.

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 with personal computers and supporting software in a Windows-based environment, including Microsoft Office products such as Word, Excel, and PowerPoint.
• Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut, or Delaware.

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 necessary for Enterprise Operations.
• Perform other duties as assigned by management.

Benefits

• Comprehensive health benefits, including medical, dental, and vision coverage.
• Retirement plans.
• Generous paid time off.
• Incentive plans.
• Wellness programs.
• Paid volunteer time off.
• Tuition reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED