Stop Loss Group Underwriter Consultant Senior

3 weeks ago

Louisville, United States Elevance Health Full time

Stop Loss Group Underwriter Consultant, Sr

Location: Open to any open-access Pulse Point location.

Must be within a 50-mile radius of a Pulse Point location.

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The Stop Loss Group Underwriter Consultant, Sr is responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases. Position is the most senior technical underwriting expert.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • Calculates renewal rates for large complex cases based on thorough analysis of experience, location, demographics, etc.

  • Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for individual health coverage.

  • Coordinates with other departments to ensure accuracy and consistency of overall account reporting.

  • Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates.

  • Performs post-sale reviews.

  • Prepares or supervises preparation of annual settlements, ERISA reports, rate projections, or benefit change increments and decrements.

  • Surveys existing product portfolios by market, monitors sales results, trends and needs, recommends product portfolio changes.

  • Assists in establishing rating and administrative procedures.

  • Participates in major multi-functional teams as underwriting representative.

  • Assists in the technical development of underwriting associates, which may include monitoring reports and work flow to provide recommendations on productivity and efficiency improvements.

  • Updates and monitors departmental processes and procedures in compliance with system, regulatory and business requirements.

Minimum Requirements:

Requires a BA/BS in a related field; Minimum 7 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses preferred

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $92,240.00 to $166,032.00

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

  • The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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