Senior Stop Loss Underwriter

BlueCross BlueShield of South Carolina•Georgia Center, VT

11d•Remote

About The Position

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. Location: This position is full-time (40-hours/week) Monday-Friday, and is fully remote. Position Purpose: The Senior Stop Loss Underwriter is responsible for profitably underwriting employer stop‑loss business across Managed Care Organizations, TPAs, brokers, hospitals, and BlueCross BlueShield partners. The role evaluates risk, applies financial discipline, and secures appropriate rates and terms while meeting targeted loss ratios, profitability goals, and service standards.

Requirements

Bachelor's
8 Years underwriting/marketing experience with managed care organizations, carriers, and managing underwriters, primarily in the employer stop loss market.
4 years job related work experience or Associate's and 2 years job related work experience.

Responsibilities

Receive specific case proposal requests and review for completeness, reject when necessary and gather missing information.
Underwrite cases 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.
Assist management in the establishment and implementation of all underwriting procedures.
May be responsible for coordinating proposal activity.