Arkansas Blue Cross and Blue Shield
Finance / FinServ
UnderwriterAssociate
“Underwriter Associate at Arkansas Blue Cross and Blue Shield. Skills: Health risk evaluation, Rating level establishment, Medical underwriting, Stop loss insurance concepts, Stop loss reimbursement review, Stop loss contract interpretation, Plan document analysis, Stop loss policy analysis, Amendment analysis, Mathematical, Analytical, Decision-Making, Data Analysis, Information Interpretation, Excellent communication & interpersonal skills. Evaluate health risk and establish profitable and comp”
What You'll Achieve.
Acquisition and retention of business; Mitigating risk; Monitoring the effectiveness of underwriting practices and procedures for review and audit by regulatory authorities.
Industry & Context.
Problem/Situation Analysis; Analytical; Critical Thinking; Sound Judgment
This position requires 3 days in the office, Tuesday-Thursday, Security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained., Integrity of information must be maintained as outlined in the company Administrative Manual., Adherence to segregation of duties guidelines in the Administrative Manual., General Office Worker, Semi-Active, Campus Travel - Someone who normally works in an office setting or remotely, periodically has lifting and carrying requirements up to 40 lbs and routinely travels for work within walking distance of location of primary work assignment as essential functions of the job.
What They're Looking For.
Must Have
High School Diploma or equivalent, Bachelor’s degree in Business, Math, Finance, Accounting, Statistics, Economics, Health Administration, Informatics, Health Information or related field, Five (5) years' non-clerical healthcare industry experience (in lieu of degree), Arkansas state Health/Life insurance license required within 6 months of date of hire
Nice to Have
Training through industry courses and seminars such as HIAA, FLMI, CHC, CEBS etc., Knowledge of medical risks, conditions, treatments, pharmacology, and medical terminology, Understanding of stop loss insurance concepts (specific and aggregate), Experience reviewing high-dollar medical claims for stop loss reimbursement, Ability to interpret and apply stop loss contracts, including exclusions, lasers, deductibles, and contract provisions, Proven ability to analyze plan documents, stop loss policies, and amendments, Experience working with TPAs, brokers, Sales representatives, and finance teams, Ability to explain complex claim or contract issues to non technical audiences
What You'll Do.
Evaluate health risk and establish profitable and competitive rating levels to ensure acquisition and retention of business
while mitigating risk.
Field inquiries from sales staff
and brokers for new and renewal business and other related business issues.
Maintain appropriate records for monitoring the effectiveness of underwriting practices and procedures for review and audit by regulatory authorities.
Maintain strict compliance with Federal and State regulations for group insurance with respect to rating
medical underwriting and portability.
Prepare rates using the rating and actuarial systems
for new business and renewal activity and consistently apply all underwriting guidelines
practices and procedures.
Perform other duties as assigned.
How You'll Work.
Team & Collaboration
Experience working with TPAs, brokers, Sales representatives, and finance teams.; Collaborative Communications; Cross-Functional Communications
Communication Scope
Excellent communication & interpersonal skills; Ability to explain complex claim or contract issues to non technical audiences; Collaborative Communications; Cross-Functional Communications; Oral Communications; Public Speaking; Written Communication
Process & Methodology
Strategic Planning
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