Stop Loss Underwriter

Position Summary:

The Stop Loss Underwriter position is responsible for pricing quotes and analyzing the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc.

Essential Functions:

• Responsible for a book of business of renewing accounts and writing new business at profitable levels to help the company achieve overall business targets or assigned volume of new applications or RFPs. Utilizes various systems and tools to obtain necessary data and accurately complete and track assigned work.
• Calculate rates, interpret pricing policy, and adapt to unusual situations.
• Identify questionable claim patterns of renewal clients and issue with competitor’s claims experience for prospect clients and develop recommendations to account for these situations.
• Apply corporate risk management policies and adjust for unusual situations that may not have been considered in the standard rating process.
• Identify when clients do not comply with corporate risk management policies, disclosure rules, or conditions/criteria for enrollment.
• Recommend appropriate adaptation of pricing within the appropriate policy or guideline to accommodate each client-specific or individual situation.
• Analyze member risk and engage internal departments to manage this risk.
• Support other internal initiatives which may include but is not limited to fraud detection, corporate compliance, wellness/disease management, and product development efforts.
• Complete renewals, prospect quotes, review of lower-level analyst work in accordance with production and timeliness standards.
• Adapt to changing priorities as quotes come in from different markets and adapt to new priorities and requirements.
• Communicate recommendations of policy adaptation to accommodate client-specific situations supported by a clear rationale or management principles.
• Influence Sales team and external audiences toward appropriate risk solutions.
• Influence Sales team towards the appropriate pricing and structure of each quote. When necessary, influence other market partners, e.g., brokers and TPAs.

Education/Experience/Skills:

• Bachelor’s Degree preferred.
• 3-5 years’ underwriting experience.
• Skilled and knowledgeable interaction with various internal departments and external stakeholders.
• Ability to use applicable computer systems, electronic tools, and applications.
• Ability to work independently and assume responsibility for projects across a continuum from routine to highly complex.
• Demonstrate an understanding and support of corporate and departmental goals and initiatives.
• Demonstrate ethical business practices with adherence to all privacy and confidentiality policies and regulations.
• Good problem-solving, organizational, and negotiation skills required.
• Excellent math aptitude required to complete analysis.
   

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