Summary
We're hiring! Learn more and apply on the website of our parent, BlueCross BlueShield of South Carolina.
Under general supervision, underwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations, (Third Party Administrators) TPAs, Brokers, Hospitals, and BlueCross BlueShield organizations and service all business to targeted profitability and service objectives. Utilizing effective risk selection techniques and maintaining financial discipline, secure optimum rates and terms for each policy while maintaining an appropriate loss ratio.
Description
- Receive specific case proposal requests and review for completeness, reject when necessary and gather missing information. Underwrite cases, within set authority limit, including setting rates, aggregate factors, and coverage terms/conditions according to negotiated MGU agreements with insurers/reinsurers.
- Design stop loss coverage and introduce services to best meet needs of client. Emphasize client relations in building up block of profitable business. Promote MGU services and benefits at every opportunity.
- Service existing book of business including, but not limited to, tracking TPA specific and aggregate loss ratio, tracking average renewal rate increases compared to average loss ratio, and determining TPAs’ level of involvement in developing their own managed care initiatives.
- Review amendments to plan documents to determine rate or coverage implications. Develop renewal terms for in-force cases which comply with company renewal standards and carrier/reinsurer guidelines and limits.
- Follow up on pending proposals and renewals to determine final outcome and reinforce interest in writing the business. Maintain open communication with management, marketing, sales, claims, and other appropriate areas.
Required Work Experience:
- Two years underwriting/marketing experience with managed care organizations, carriers, and managing underwriters, primarily in the employer stop loss market.
Required Education:
- Bachelor's degree Any field of study OR
- Four years experience OR
- Four years prior military experience.
Required Skills and Abilities:
- Strong analytical, decision-making, time management, and advanced math skills.
- Excellent verbal and written communication and interpersonal skills.
- Good judgment.
- Advanced knowledge of group insurance, managed care, and direct medical claims products.
- Ability to handle confidential or sensitive information with discretion.
- Extensive knowledge of underwriting/risk principles and their application.
Required Software and Other Tools:
- Microsoft Office including Excel, Teams, and Outlook, ESL Office.
Preferred Degree Equivalency:
- Four years Underwriting experience.
Preferred Work Experience:
- One year employer stop loss underwriting/marketing experience.
Work Environment:
- Typical office environment.
- Some travel required.
- Work from home possible for the right candidate.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
Some states have required notifications. Here's more information.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
