Senior Underwriter Stop Loss

Overview

Stop Loss Underwriters

Work from Home within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated team of Stop Loss Underwriters is living our mission to make health care easier and lives better. As a member of the Stop Loss Underwriting team, our Stop Loss Underwriters evaluate each assigned group’s risk and attach the appropriate rate. Underwrites a profitable book of business and services all business to target profitability objectives and marketing objectives – all in service of creating a person-focused health care experience.

Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.

What You Bring to Cambia:

The Senior Stop Loss Underwriter would have a Bachelor’s Degree in business, math, statistics or related discipline and 5 years of advanced experience in an underwriting related field or equivalent combination of education or experience.

• Demonstrated ability to exercise sound judgment, initiative and discretion in a mature, sensitive and confidential manner.
• Highly developed business sense (finance, accounting, economics, risk management)
• Proven attention to detail and accuracy in data entry and other administrative tasks.
• Computer skills including experience using Microsoft Office (Word, Excel, Outlook) or comparable software and ability to learn and use complex systems.
• Ability to organize, prioritize and manage multiple tasks with little supervision.
• Demonstrated ability to establish effective working relationships with coworkers and customers and to work well both independently and on a team.
• Ability to communicate effectively both orally and in writing.
• Knowledge of medical terminology.
• Demonstrated strong problem-solving skills and ability to investigate and resolve complex issues.
• Demonstrated ability to consistently meet productivity and quality standards with minimal support.
• Demonstrated ability to think analytically and apply analytical techniques.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
• Demonstrated competency in reading the marketplace with regard to rate sensitivity.
• Demonstrated ability to think analytically, apply analytical techniques and to provide in-depth analysis and recommendations using critical thinking and sound judgment.
• Advanced demonstrated competency in explaining complex mathematical and abstract concepts to lay personnel.
• Demonstrated competency in project management and ability to oversee work programs.
• Comfortable working with complex computer software systems.
• Ability to maintain a positive professional interaction with both internal and external customers.
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

• Ensures that the risks are appropriate and consistent with the underwriting guidelines and policies.
• In conjunction with the nurse, reviews large or ongoing claim concerns and adjusts rates or sets lasers appropriately.
• Actively involved with testing new rating, underwriting and front-end systems.
• Calculates the reserve for unreported and unpaid claims by analyzing the group's utilization and run out patterns, enrollment trends and other factors applicable to the group.
• In calculating rates, reviews group's prior experience, benefit utilization patterns, group size, age/gender composition, group's plan of benefits (past and current), type of industry and administrative costs.
• Prepares marketable rates for optional benefits on existing and prospective contracts by analyzing statistical data to determine a balance between income and costs.
• Prepares rates for contract renewals, proposals, and benefit modification by analyzing statistical data using professional experience and subjective judgment, relying heavily on analysis of base period projections and linear regression.
• Actively involved with…