Resp & Qualifications

PURPOSE: 
Responsible for the attainment, effective management, and profitability of a designated book of business.  This position utilizes underwriting judgment and exercises a level of authority.  Pricing concessions are permitted up to the designated level of authority without further review. This position works closely with Sales and Account Management to ensure that client needs are met without compromising the corporate objectives. This position is responsible for monitoring financial performance and apprising management as needed.

ESSENTIAL FUNCTIONS:

• Works closely with the Account Manager and Underwriting Manager to provide alternate benefit plans, risk and/or funding arrangements. Update appropriate billing rate files, contracts, internal databases, etc. Complete the renewal process on smaller accounts, complete/update ASO and Stop Loss contracts and quote alternate funding arrangements with assistance from senior underwriter, consultant or management.
• Support attainment of corporate sales and profitability goals through the completion of new business quotes (e.g. demographics, claims experience, benefit levels, contribution strategy, carrier history, etc.) and the development of appropriate new business rates. Prepare RFP responses with assistance from senior staff. Utilize the latest actuarial tables and factors. Apply underwriting judgement when appropriate with assistance from management.
• Produces and monitors the issuance of Underwriting departmental reports for both internal management and external customers. Utilizes available data to isolate specific elements of account benefit plan performance and to support required rate actions as requested. Participate and have an active role in department special projects, while embracing change in a positive manner.
• Monitor financial performance of assigned book of business to provide advance notice of potential adverse outcomes to Underwriting Department management. Provide technical expertise and support to Account Managers regarding potential benefit changes and/or alternatives available to the account. Ensure account performance is accurately reflected on corporate financial statements and forecasts.
• Provide support to Sales and Account Management staff on Underwriting related issues. Provide support to Finance, Legal, Operations, etc. as requested. Communicating and negotiating directly with prospects, existing accounts, brokers & consultants (with assistance from Management).
• Participate in formal and informal training activities to develop and enhance knowledge of underwriting methodologies, funding options, products, legislation, CareFirst competitors, and to ensure compliance with corporate and departmental policies. Participation in internal and external courses, becoming proficient in new underwriter tools and applications and continuing to improve computer skills.
• Support corporate initiatives and projects, system deployments and overall system functionality by participating and providing feedback in user acceptance testing, participating in deployment and shakedown testing activities, reporting system issues, assisting in the rate validation process based on approved rate filings submitted to the appropriate insurance agencies, providing assistance in the maintenance of system data tables and ensuring the accuracy of the rates presented to the customer.

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.

Experience: 3 years underwriting experience in group health, medical, ancillary benefits and/or pharmacy.

Preferred Qualifications:

• Experience in the health insurance industry, knowledge of medical and ancillary products, experience with fully and self-insured arrangements. 

Knowledge, Skills and Abilities (KSAs)

• Individual must be knowledgeable of risk selection and pricing methodologies used within the health insurance industry.
• Individual must also have knowledge of industry laws and regulations, products, benefit plan designs, market trends and alternate funding arrangements.
• Good written and oral communication skills, preferably including the ability to explain complex topics to diverse and potentially hostile audiences.
• Strong PC skills and be proficient in Microsoft Suite of products.

  
  Salary Range: $58,824 - $116,831
  

  Salary Range Disclaimer

  The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

  Department

  SM SBU New Business

  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.

  Where To Apply

  Please visit our website to apply: www.carefirst.com/careers

  Federal Disc/Physical Demand

  Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

  PHYSICAL DEMANDS:

  The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

  Sponsorship in US

  Must be eligible to work in the U.S. without Sponsorship

  #LI-KL1 

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