Senior Stop Loss Strategist

Health Plans Inc•Westborough, MA

About The Position

HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission. The Senior Stop Loss Strategist is responsible for developing relationships internally and externally to maximize stop loss sales growth in accordance with the business plan. Responsibilities include coordinating with underwriting and stop loss operations staff, maintaining quality stop loss relationships, and assuring timely, accurate, and competitive proposals and renewals in conjunction with the HPI and Harvard Pilgrim Health Care medical representatives.

Requirements

Bachelor’s Degree (BS/BA) required in business or related field.
5-7 years’ experience:
Stop loss underwriting or reinsurance experience.
Coordinating and managing cross functional teams
Developed strong broker relationships
Maintaining client satisfaction and implementation of stop loss programs
Working with broker and consulting community
Multi-state Life & Health License.
Knowledge of underwriting processes, coverages and tools to gather and evaluate information to reach appropriate decisions on renewals and new business.
Ability to identify, analyze and solve problems as well as the ability to learn rapidly, adapt quickly to change, exercise influence, and manage and prioritize multiple projects.
Knowledge of group benefits legislation including ERISA, ACA, COBRA & HIPPA.’’
Advanced skill level in Microsoft Office, including Word, Excel, Outlook and PowerPoint.

Responsibilities

Support clients, brokers, sales and account management by providing guidance and consultation on complex underwriting subjects such as rate calculations, analyzing plan benefits, and legislative updates.
Manage stop loss underwriting process to ensure accurate and competitive preparation of stop loss proposals and renewals.
Collaborate with the Vice President, Corporate Stop Loss in developing business plans, product portfolio, and market strategy.
Assess and develop relationships with stop loss markets to assure competitiveness, quality contracts, and responsiveness.
Collaborate with underwriting to analyze geographical market data as to impact on claim utilization cost.
Work alongside the Vice President, Corporate Stop Loss to ensure accuracy of underwriting guidance to departments while assessing policy and procedure.
Support the Vice President, Corporate Stop Loss in establishing underwriting profit goals and other measurements including loss ratio, new business development, policy count, account retention, etc. to the Executive Leadership Team.
Provide leadership to underwriting in analyzing individual risks and book of business results to manage and control underwriting exposure and pricing strategy consistent with company objectives.
Work with internal and external business units to develop joint business plans, value propositions and cross marketing programs.
Lead cross-functional projects that support department and company goals.
Contribute to the achievement of the business plan. Responsible for supporting profitable production underwriting and maintenance of new and renewal accounts across the HPI and HPHC books of businesses.
Assist in development of marketing plans with brokers and clients.
Manage stop loss reporting process inclusive of gathering claim details, clinical notes, NDA completion, and privacy process.
Liaise with other production units to identify account expansion opportunities.
Support stop loss alternative funding growth through development of captive solution or captive partnership solution.
Support strategic prospecting / positioning of stop loss program in conjunction with HPI’s national growth and Employer Health Network (EHN) growth.