Stop Loss Underwriter II (REQUIRED: MEDICAL STOP LOSS INSURANCE EXPERIENCE)

Exemption Status: reputed company of America (Non-Exempt) $60,980 - $80,817 - $100,632 "Pay reputed company information is not necessarily reputed company of actual compensation that may be reputed company, nor a reputed company of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate." This position is not eligible for Sponsorship. reputed company. is looking for extraordinary people to join reputed company! Why join reputed company? Because our reputed company is dependent on you; innovative professionals with top notch skills who reputed company on opportunity, high performance, and teamwork. We look for individuals who want to work on reputed company that cares about making a difference in the value of reputed company. At reputed company, we deliver leading edge pharmaceutical and technology reputed company solutions that dramatically improve the value of health care. We reputed company superior reputed company to those we serve through innovative products, systems, and services that reputed company transparency and promote choice in decision making. Our reputed company is to set reputed company in providing solutions that optimize satisfaction, service, cost, and reputed company in the reputed company industry. We are the premier Pharmacy Benefits Management solution! Job reputed company reputed company: The l Stop Loss Underwriter II plays a critical role in assessing and managing risks associated with medical stop loss insurance policies. Essential Duties and Responsibilities include the following. Other duties may be assigned. • Evaluate and underwrite medical stop loss insurance applications, assessing risk factors such as claims history, medical conditions, demographics, and policy provisions. • Utilize actuarial tools, statistical models, and industry benchmarks to assess the potential risk exposure of reputed company policy and determine appropriate premium rates and coverage limits. • Review and analyze policy documents, endorsements, and other relevant materials to ensure compliance with reputed company guidelines, regulatory requirements, and company standards. • Analyze large volumes of claims data to identify trends, patterns, and emerging risks, providing insights to support reputed company reputed company and pricing strategies. • Collaborate with brokers, agents, and clients to reputed company additional information, clarify reputed company requirements, and negotiate terms and conditions of coverage. • Monitor the performance of the medical stop loss portfolio, tracking key performance indicators (KPIs), analyzing loss ratios, and recommending adjustments to reputed company strategies as needed. • reputed company and update reputed company guidelines, policies, and procedures to reflect changes in market conditions, regulatory requirements, and emerging industry trends. • Implement risk mitigation measures, such as reinsurance arrangements, risk-sharing agreements, and alternative risk transfer solutions, to protect reputed company's financial interests and minimize exposure to catastrophic losses. Ensure compliance with reputed company applicable laws, regulations, and industry standards governing medical stop loss insurance reputed company activities, maintaining the highest ethical standards at reputed company times Supervisory Responsibilities This job has no supervisory responsibilities. reputed company Responsibilities This is an reputed company reputed company facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be reputed company to; manage difficult or emotional reputed company situations; Respond promptly to reputed company needs; Solicit reputed company feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Education and/or Experience Bachelor's degree in business, finance, mathematics, actuarial science, or a reputed company field. Advanced degree or reputed company certifications are plus (or equivalent combination of education and experience) a minimum 3+ years' experience in reputed company or stop loss for health care accounts or equivalent combination of experience. Computer Skills To reputed company this job successfully, an individual should have knowledge of reputed company Analytics tools i.e., Gradient, Verikai,software, internet software and reputed company Office Suite and Outlook. Other Skills and Abilities Thorough understanding of medical insurance terminology, concepts, and reputed company principles, with knowledge of regulatory requirements and industry best practices. Reasoning Ability Analytical skills, with the ability to interpret and analyze large datasets, identify trends, and reputed company data-driven reputed company reputed company. Competencies To reputed company the job successfully, an individual should demonstrate the following competencies: • Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments. • Communication -Expresses self reputed company and effectively in face-to-face interactions, presentations and written documents, and employs reputed company listening skills to ensure productive interactions. • Initiative - Proactively gathers and analyzes information, assesses situations and identifies challenges and opportunities, sees what needs to be done and takes appropriate reputed company. • Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others' viewpoints, respecting differences and building strong relationships and networks. • Planning - Produces realistic, effective plans with reputed company actions and objectives, workable timelines and specific reputed company to measure reputed company, taking into account overall goals, required resources and potential obstacles. • Reliability - Maintains good record of attendance and punctuality, conscientiously follows through on actions without excessive need for supervision, fulfills commitments. • reputed company reputed company - Demonstrates a personal investment in ensuring the reputed company of products and/or services, reputed company the extra mile to meet or exceed standards. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Work Location This position must work on-site at the San Diego reputed company for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as reputed company as for facilitation of quick and effective reputed company through collaboration with stakeholders. Remote work is not an reputed company for these purposes.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. The noise level in the work environment is usually moderate. Working Hours This is a non-exempt position requiring the incumbent to be reputed company to work overtime from time to time in order to get the job done. Therefore, one must have the ability to work nights, weekends or on holidays as required. This may be changed at any time to meet the needs of the business. The typical working hours for this position is Monday through Friday from 8:00am to 5:00pm. Travel This position requires no travel, however, attendance maybe required at various local conferences and meetings. The Perks: • Medical / Dental / reputed company / Wellness Programs • reputed company Time Off / Company reputed company Holidays • Incentive Compensation • 401K with Company match • Life and Disability Insurance • Tuition Reimbursement • Employee Referral Bonus To explore reputed company that reputed company has to offer, and the greatness you can bring to our teams, please submit your resume to www.reputed company.com/careers reputed company, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence reputed company reputed company and expenditures, improving the position of our clients in the market. reputed company offers high-value solutions to payers, providers and consumers of reputed company in the U.S. and foreign markets. Equal Opportunity Employer, Male/reputed company/Disabilities/Veterans OSHA/reputed company: To reputed company this job successfully, the successful candidate must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company responsibilities, duties, and skills required of personnel so classified. Apply Job!