Vice President of Stop-Loss Underwriting
Work a remote work schedule.
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 Stop Loss is living our mission to make health care easier and lives better. As a leader of the Stop-Loss Underwriting team, our VP of Stop-Loss Underwriting manages stop loss book of business risk selection and risk classification activities to meet top line growth and bottom-line profitability objectives. Cambia-wide final decision maker for stop loss concessions on rates and terms prior to escalation. Plans, develops and directs the activities of the Underwriting Stop Loss departments within Cambia to meet corporate objectives for stop loss risk management, renewal activity, and new business production. Secures necessary capabilities for stop loss business in total; e.g, premium and billing system, reporting system, UM/CM capabilities in/outsourced, etc. Actively engages with state insurance departments to initiate and/or resolve filing issues. Drives process to evaluate and approve external Third-Party Administrators. Represents Cambia and CB
RM in AM Best presentations - 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:
Vice President, Stop Loss Underwriting would have a Bachelor's degree in business, math, statistics or related discipline and 12+ years underwriting experience in the health insurance profession with specific responsibilities in stop loss or equivalent combination of education and experience.
Skills and Attributes:
• Develops strategies to meet the corporate goals for contribution to reserves by line of business through rating, reimbursement and risk management strategies.
• Establishes quote authority limits for all stop loss underwriters.
• Reviews and Signs-off on all cases above the underwriter's quote authority limits and all exception cases.
• Responsible for the development and maintenance of the Underwriting Guidelines, annual stop loss underwriting audits of all underwriters, and oversight of the stop loss contracts.
• Directs development and implementation of policies and procedures in compliance with corporate strategies and legislative mandates.
• Directs the development and application of equitable and competitive rates to group to assure favorable underwriting.
• Directs the development and implementation underwriting policies that preclude adverse selection and provide the opportunity of coverage to specified communities.
• Maintains an optimum balance between an adequate rate structure and stop loss coverage that is competitive in the marketplace.
• Provides support and analysis to the Senior Vice President and Chief Actuarial Officer.
• Monitors and recommends changes to manual rate and factor development to ensure optimal outcomes for sales, renewals, and underwriting gain.
• Leads a team of Managers, Stop Loss Underwriters, Stop Loss Claims Analysts, Medical Risk Consultants and support personnel. Directs work product and production of assigned stop loss underwriting nurse staff.
• Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within Stop-Loss Underwriting.
What You Will Do at Cambia:
• Demonstrated ability to read the self-funded employer stop loss marketplace with regards to rate sensitivity and product offerings.
• In-depth knowledge of the health care industry and specifically in the self-funded employer stop loss market; includ
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