Senior Underwriter Stop Loss-1

Cambia Health Solutions • Medford, OR

1d • Remote

About The Position

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. Who We Are Looking For: 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 attaches 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: Qualifications: The Senior Stop Loss Underwriter would have a Bachelor's Degree in business, math, statistics or related discipline and 5 years of advance experience in an underwriting related field or equivalent combination of education or experience. Skills and Attributes: 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 What You Will Do at Cambia: 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 analyzing statistical data and performs the more complex rate analyses, developing rates for existing and prospective contracts. Supports management reporting efforts and the development of automated rating and analysis tools. Works closely with members of the Sales Department to answer questions and/or resolve issues regarding Stop Loss Underwriting Work Environment No unusual working conditions. Work primarily performed in office environment or home office. The expected hiring range for a Senior Underwriter Stop Loss is $92,650.00 - $125,350.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 18.75%. The current full salary range for this role is $87,000.00 to $142,000.00. #LI-remote About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email [e-mail]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia is transforming the health care system to revolve around people. For over 100 years we’ve designed people-first health solutions rooted in the nation’s first health plan, a loggers’ wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans serving over 3 million Americans. Cambia blends data science with a compassionate human perspective to anticipate people’s needs, and empower them to make smarter health care choices. Interested in driving accessibility, affordability and quality health care for real people? Apply to any of our open jobs or join the Twitter conversation @Cambia. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Requirements

• Bachelor's Degree in business, math, statistics or related discipline and 5 years of advance 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.
• 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.
• Ability to maintain a positive professional interaction with both internal and external customers.
• To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

Nice To Haves

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

• 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 analyzing statistical data and performs the more complex rate analyses, developing rates for existing and prospective contracts.
• Supports management reporting efforts and the development of automated rating and analysis tools.
• Works closely with members of the Sales Department to answer questions and/or resolve issues regarding Stop Loss Underwriting

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level