Medical Stop Loss Underwriting Consultant

Highmark Health • Washington, DC

2d • $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
• 10 - 15 years in the Insurance Industry
• Creative Thinking
• Risk Management
• Relationship-builder with Unsurpassed Interpersonal Skills
• Conflict Management
• Solution Recommendations
• Analytical Skills

Nice To Haves

• Certified Employee Benefit Specialist (CEBS)
• Health Insurance Associate (HIA)
• Managed Healthcare Professional (MHP)
• Society of Actuaries

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.

What This Job Offers

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