Medical Stop Loss Underwriting Consultant

Highmark Health • PA, Working at Home - Pennsylvania, NV

1d • $94,200 - $151,000 • Onsite

About The Position

This job participates on a multi-disciplinary team focused on highly visible, complex broker and/or TPA relationships that are organized into blocks. Some direct client interaction, but primary client contact is the sales leadership. Manages a block of stop loss business and case level underwriting within the block to achieve overall goals. Operates in a matrix structure working with the Sales, Underwriting and Clinical teams and oversees all aspects of new business and renewal pricing and risk analysis associated with select clients. Responsible for the P/L, renewal metrics and new business sales for the block. Expected to provide creative solutions on a case level and assists in the development and execution of creative solutions at the block level. Provides leadership and training to other underwriters supporting programs.

Requirements

• Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business Administration/Management or Computer and Information Science
• 6 years of experience in lieu of degree
• 10 - 15 years in Underwriting
• Certified Employee Benefit Specialist (CEBS)
• Health Insurance Associate (HIA)
• Managed Healthcare Professional (MHP)
• Society of Actuaries
• Creative Thinking
• Risk Management
• Relationship-builder with Unsurpassed Interpersonal Skills
• Conflict Management
• Solution Recommendations
• Analytical Skills

Nice To Haves

• 10 - 15 years in the Insurance Industry

Responsibilities

• 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.
• Other duties as assigned or requested.

Benefits

• Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level