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BlueCross BlueShield of South Carolina · 21 hours ago

AVP, Underwriting Major Group

Columbia, SC

Full-time

Onsite

Senior Level, Lead/Staff

10+ years exp

BlueCross BlueShield of South Carolina is a leading insurance company with a strong presence in the community for over seventy years. The AVP of Underwriting Major Group will oversee the underwriting activities for various health insurance products, ensuring competitive rates and risk management while leading the underwriting department and collaborating with other functional areas within the company.

Financial ServicesHealth CareHealth InsuranceInsuranceMedical

Responsibilities

Manages the Large Group Underwriting department

Oversees the fully insured and self-insured underwriting activities of Large Group products. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing

Manages and oversees Stop Loss Underwriting department. Interfaces with external stop loss carriers and MGU's. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, and policy processing

Manages the Dental Underwriting department. Oversees the fully insured and self-insured underwriting activities of Individual products. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing

Develops and updates underwriting rules and regulations applicable to regional underwriting, ensuring compliance with appropriate state and federal regulations

Develops and maintains external agency relationship strategies to foster long term relationships, consistent growth, and knowledge of competitive underwriting practices

Works closely with internal functional areas (Finance, Claims, Membership, Marketing, Premium Audit) to achieve company goals

Qualification

Underwriting experienceManagement experienceInsurance lawsAnalytical skillsStrategic planningExcelCommunication skillsDecision-making skillsProblem-solving skills

Required

Bachelor's degree

10+ years Underwriting experience

3 years Management experience or equivalent military experience in grade E5 or above (may be concurrent)

Knowledge of insurers/competitive practices preferably in the following: underwriting of large group, small group, individual classes, dental, ASO, and stop loss

Knowledge of the operations of the corporation and its various subsidiaries. Understanding of advanced mathematics and rating methodologies

Ability to understand medical records information and their impact on underwriting

Knowledge of South Carolina as well as federal insurance laws and regulations

Excellent communication (verbal and written), presentation, and interpersonal skills

Ability to exercise good judgment with a capacity of communicating with a diverse range of individuals

Proven ability to organize and manage multiple priorities

Strong analytical, strategic planning, and decision-making skills

Ability to adapt to ever changing business environment/priorities

Proficiency in word processing and spreadsheet software

Preferred

10+ Years-Underwriting experience to include Large Group, Small Group, Individual, and Self Insured

Exceptional understanding of risk and health delivery systems

Experience working national accounts

Microsoft Office, with proficiency in Excel

Excellent communication, presentation, decision-making and analytical skills

Demonstrated problem-solving skills, understanding of key health care financial and operational metrics

Strong financial acumen

Strong grasp on all aspects of the funding arrangements to include pharmacy and stop loss

Understanding of the Blue system and Blue Card

Benefits

Subsidized health plans, dental and vision coverage

401k retirement savings plan with company match

Life Insurance

Paid Time Off (PTO)

On-site cafeterias and fitness centers in major locations

Education Assistance

Service Recognition

National discounts to movies, theaters, zoos, theme parks and more

Company

BlueCross BlueShield of South Carolina

Glassdoor3.6

For more than six decades, BlueCross BlueShield of South Carolina has been part of the national landscape. Our roots are firmly embedded in the state.

Founded in 1946

Columbia, South Carolina, USA

10001+ employees