Group Underwriter II (Stop Loss)

100 Horizon Healthcare Services, Inc; Newark (NJ); Presencial; USD 79 000 - 106 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Comprehensive health benefits

Retirement plans

Generous PTO

Incentive plans

Wellness programs

Paid volunteer time off

Tuition reimbursement

Resumo da oferta

Horizon BCBSNJ is seeking a Rating & Underwriting professional in New Jersey to support the Sales team by producing rates for 100+ markets and Stop Loss products. The role involves developing proposal and renewal rates, approving GEI/BIFs, and preparing ERISA 5500 reports.

Collaboration with brokers and groups is essential for renewals and financial guidance. Requirements include 3+ years in health insurance underwriting, a math/statistics/accounting background, and MS Office proficiency.

Qualificações

• Minimum 3 years of experience in the health insurance industry with Rating/Underwriting.
• Stop Loss underwriting experience preferred.
• Bachelor's degree in Math, Statistics, or Accounting is preferred.
• Proficient in Windows OS and MS Office (Word, Excel, PowerPoint).

Responsabilidades

• Develops and issues proposal rates for group size 100+ and experience rated proposals.
• Develops and issues renewal and proposal rates for alternately funded groups.
• Approves GEI and BIFs where applicable.
• Assembles data and produces ERISA 5500 reports and settlements for Sales.
• Researches rate and benefit inconsistencies and issues corrections/recommendations.
• Attends meetings with groups and brokers to discuss renewals and proposals.
• Maintains monthly financial reports for Enterprise Operations.
• Performs other duties as assigned by management.

Conhecimentos

Underwriting

Data analysis

Formação académica

Bachelors in Math/Stats/Accounting

Ferramentas

MS Office

Descrição da oferta de emprego

About the Role

This position provides Rating & Underwriting services and support to the Sales team and is responsible for the production of rates for the 100+ markets. This position will support Rating & Underwriting services for Stop Loss products.

What You'll Do

• Develops and issues proposal rates for group size 100+ and experience rated proposals.
• Develops and issues experience rated renewals for group size 100+.
• Develops and issues renewal and proposal rates for alternately funded groups.
• Approves Group Enrollment Information (GEI) and Benefit Information Forms (BIFs) where applicable.
• Researches rate and benefit inconsistencies and issues corrections and/or recommendations.
• Assembles data and produces ERISA 5500 reports and settlements and issues to Sales, where applicable.
• Makes decisions to offer special financial arrangements to groups and monitors outcomes as required.
• Attends meetings with groups and brokers to discuss renewals and proposals and makes recommendations.
• Maintains and updates monthly financial reports necessary for Enterprise Operations.
• Performs other duties as assigned by management.

What You Bring

• Minimum High School diploma or GED Bachelor's degree, preferred in Math, Statistics, or Accounting.
• Analysis experience preferred.
• Requires minimum three (3) year's experience in health insurance industry with experience in Rating/Underwriting.
• Stop Loss underwriting experience highly preferred.

Knowledge

• Requires knowledge of underwriting principles, benefit offerings, alternate financial mechanisms and rating methodology.
• Prefer knowledge of Horizon BCBSNJ products.
• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint).

Why Horizon?

At Horizon, you'll do meaningful work that directly improves lives - while being supported by a mission-driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we'd love to hear from you!

Salary

Salary Range: $79,100 - $105,945

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case.

Benefits

• Comprehensive health benefits (Medical/Dental/Vision)
• Retirement Plans
• Generous PTO
• Incentive Plans
• Wellness Programs
• Paid Volunteer Time Off
• Tuition Reimbursement

Disclaimer

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware.

This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Equal Opportunity

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity or status as an individual with a disability and any other protected class as required by federal, state or local law.

Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

About Us

We are the leading health insurer in New Jersey, trusted by generations of families and businesses. We are dedicated to enriching the lives and health of our members and the New Jersey communities we serve, because we live and work here too.

Our Mission

We empower our members to achieve their best health.

Our Vision

We are New Jersey's health solutions leader driving innovations that improve health care quality, affordability and member experience in the markets we serve.