Senior Group Stop-Loss Underwriter II

Horizon Blue Cross Blue Shield of New Jersey; Newark (NJ); On-site; USD 79,000 - 106,000; Full time

Benefits offered by this job

Health benefits

Retirement Plans

Generous PTO

Incentive Plans

Wellness Programs

Paid Volunteer Time Off

Tuition Reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking aRating & Underwriting professional to produce rates for 100+ markets and support Stop Loss products. The role focuses on proposal and renewal rates, GEI/BIF approvals, and ERISA reporting for Sales support.

Qualified candidates will have a health insurance industry background, strong analytical skills, and proficiency with MS Office. The position requires a High School diploma or GED, and a Bachelor's degree is preferred.

Qualifications

• Minimum High School diploma or GED.
• Bachelor's degree preferred in Math, Statistics, or Accounting.
• At least 3 years of experience in health insurance with Rating/Underwriting.
• Stop Loss underwriting experience preferred.

Responsibilities

• 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 alternate funded groups.
• Approves GEI and 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.

Skills

Analytical thinking

Communication

Education

Bachelor's degree in Math, Statistics, or Accounting

High School diploma or GED

Tools

MS Office (Word, Excel, PowerPoint)

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking aRating & Underwriting professional to produce rates for 100+ markets and support Stop Loss products. The role focuses on proposal and renewal rates, GEI/BIF approvals, and ERISA reporting for Sales support.

Qualified candidates will have a health insurance industry background, strong analytical skills, and proficiency with MS Office. The position requires a High School diploma or GED, and a Bachelor's degree is preferred.