Underwriting Consultant - Stop Loss (Remote)

PURPOSE :

The Underwriting Consultant underwrites more complex new policies and modifications to existing group contracts. Frequently interacts with agents / applicants on problem cases. Performs case quality audits and training of less seasoned Underwriters' work. This position is for Stop Loss Underwriting.

ESSENTIAL FUNCTIONS :

Applies underwriting policies and procedures to complex situations and / or large groups to evaluate risks. Monitors trends and identifies the need for new or revised underwriting policies, procedures, and practices. Recommends changes to underwriting leadership.

Provide leadership and guidance junior members in preparing financial analysis

Meets insurance underwriting operational standards by contributing information to strategic plans and reviews; resolving problems; identifying system improvements.

Completes insurance underwriting by enforcing adherence to internal and external underwriting policies, procedures, guidelines, and regulations; reviewing risk acceptability; auditing files; declined files, and large limits; evaluating loss history, financial statements, and loss control surveys; reviewing work volumes, turn times, and workflow. Prepares insurance information and reports by collecting, analyzing, and summarizing data and trends.

Resolves insurance problem escalations by reviewing file documentation; evaluating options; applying guidelines. Improves insurance product profitability by tracking and analyzing product results; evaluating trends; identifying deficit accounts. Maintains customer confidence and protects organization operations by keeping information confidential; cautioning others regarding potential breaches.

Improves insurance underwriting and leadership job knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.

Contributes to insurance underwriting and organization success by welcoming related, different, and new requests; helping others accomplish job results.

SUPERVISORY RESPONSIBILITY :

Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS :

Education Level : Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses / Certifications Upon Hire :

• Associate in Personal Insurance, Commercial Underwriter
• Chartered Life Underwriter

Experience : 8 years underwriting experience in group health, medical, ancillary benefits and / or pharmacy.

Knowledge, Skills and Abilities (KSAs)

Department

Department :

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.