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Underwriting - Medical Stop Loss in Minneapolis, MN at QuestPro Consultants

Date Posted: 12/3/2018

Job Snapshot

Job Description


Position Overview

Assists in leading, managing and directing underwriting of employer stop loss insurance and delivers value-added services. Ensures rate quotes are fair and equitable to clients, profitable to the org, and completed within time frames. Manages and/or provides advanced expertise and guidance on employer stop loss accounts. Maintains accountability for profit and loss of business unit accounts.

Responsibilities

  • Independently evaluates risk and underwrites employer stop loss under the pricing and underwriting guidelines established by company.
  • Analyzes data, evaluates characteristics of underlying provider agreements, applies relevant claims experience and identifies ongoing member health issues.
  • Client responsibilities include handling varied facets of large and complex accounts, relationship management as well as facultative account reviews, service delivery and treaty maintenance.
  • Contributes to team profitability by analyzing /assessing assigned client profitability through experience and expense analysis and attention to assigned account performance.
  • Responsible for implementation meetings for new employer stop loss accounts.
  • Facilitates and assists on UW value added services for assigned and other accounts.
  • Participates in special projects, committees and meetings, as assigned.
  • Works with Underwriter and Underwriting Support Analyst to obtain answers to follow up items, as needed.
  • Coaches and trains Underwriters, Underwriting Support Analyst and support staff.
  • Reviews disclosure statements with Medical Management consultants.
  • Collaborates with QSM team underwriters where appropriate.
  • Prepares and analyzes client experience and activity reports.

Requirements

Education and Experience

Required

  • Bachelor’s degree or equivalent related work experience.
  • 4+ years Employer Stop Loss underwriting experience.

Preferred:

  • 7+ years of experience in the insurance / reinsurance industry.
  • Experience with Young Consulting Systems software.
  • Experience working with HMOs.
  • Underwriting training and mentoring.

Skills and Abilities

  • Advanced Word skills and Excel skills
  • Advanced ability to comprehend and interpret insurance and contract documents
  • Advanced value judgment abilities
  • Advanced knowledge of insurance principles, underwriting policies and procedures and guidelines for dealing with risk analysis
  • Advanced knowledge of medicine, law, accounting, and finance as applied to the evaluation of health insurance and reinsurance risks
  • Ability to comprehend, analyze and apply vast amounts of medical and financial information quickly to making sound financial underwriting and risk assessments
  • Advanced oral and written communication skills demonstrating ability to share and impart knowledge
  • Ability to quickly adapt to new methods, work under tight deadlines and stressful conditions
  • Advanced level of investigative, analytical and problem solving skills
  • Advanced ability to set goals and handle multiple tasks, clients, and projects simultaneously; Ability to appropriately balance priorities, deadlines, and deliverables
  • Ability to work well within a team environment and participate in department/team project
  • Ability to balance detail requirements with departmental goals/objectives
  • Advanced ability to translate business needs and problems into viable/accepted solutions
  • Advanced level of skill in customer relationship management and change management
  • Ability to manage multiple projects or teams and set applicable goals
  • Advanced negotiating and persuasion skills
  • Ability to liaise with individuals across a wide variety of operational, functional, and technical disciplines
  • General business knowledge




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