Senior Underwriter Stop Loss-1

Cambia Health Solutions

Renton, WA

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JOB DETAILS

JOB TYPE

Full-time, Employee

SKILLS

Accounting, Administrative Skills, Analysis Skills, Artificial Intelligence (AI), Business Development, Business Services, Claims Processing, Communication Skills, Computer Skills, Computer Software, Customer Relations, Data Entry, Detail Oriented, Economics, Establish Priorities, Finance, Health Economics, Healthcare, Marketing Objectives, Mathematics, Medical Terminology, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Multitasking, Nursing, Presentation/Verbal Skills, Problem Solving Skills, Profit & Loss, Project Tracking, Project/Program Management, Quality Metrics, Risk, Risk Management, Statistics, Stop Loss Insurance, Systems Maintenance, Team Player, Underwriting, User Interface/Experience (UI/UX), Work From Home

LOCATION

Renton, WA

POSTED

30+ days ago

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 experien
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About the Company

Cambia Health Solutions

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