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 Cambias 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 groups 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 Bachelors 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 groups utilization and run out patterns enrollment trends and other factors applicable to the group.
In calculating rates reviews groups prior experience benefit utilization patterns group size age/gender composition groups 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
The expected hiring range for a Senior Underwriter Stop Loss is $92650.00 - $125350.00 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 $87000.00 to $142000.00.
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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 were 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:
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:
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 . Information about how Cambia Health Solutions collects uses and discloses information is available in our .
Required Experience:
Senior IC
Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable healthcare system. Discover how Cambia’s dedication to cutting-edge innovation and positive transformation is helping change the healthca ... View more