**Resp & Qualifications** **PURPOSE:** Builds and manages a team of Stop Loss underwriters to manage an internal Stop Loss book of business. Provides Stop Loss Insurance Underwriting Services by evaluating exceptions and appeals; reviewing reinsurance arrangements; auditing risk acceptability, new applications, declined files, and large limits; evaluating loss history, financial statements, and loss control surveys; evaluating file documentation; analyzing product results; approving documents for State filings, and marketing materials; managing staff. **ESSENTIAL FUNCTIONS:** + Manages insurance underwriting employee outcomes by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures. + Achieves insurance underwriting operational objectives by contributing information and analysis to strategic plans and reviews; preparing and completing action plans; implementing production, productivity, quality, customer-service, safety, security, and health standards; identifying and resolving problems; completing audits; identifying, developing, and implementing system improvements. + Meets insurance underwriting financial objectives by partnering with Sales, Actuary, and Leadership; estimating requirements; preparing an annual budget; scheduling expenditures; analyzing variances; initiating corrective actions. + Completes insurance underwriting by evaluating exceptions and appeals; reviewing reinsurance arrangements; enforcing adherence to internal and external underwriting policies, procedures, guidelines, and regulations; auditing risk acceptability, new applications, declined files, and large limits; evaluating loss history, financial statements, and loss control surveys. + Ensures legal compliance by auditing and enforcing guidelines, account contracts, and company business plan; verifying implementation of State-mandated regulations and required forms and rates; approving documents for State filings, and marketing materials. Protects organization value by keeping information confidential, cautioning others regarding potential breaches. + Resolves insurance problem escalations by evaluating file documentation; evaluating options; enforcing guidelines. Improves insurance product profitability by analyzing product results. + Improves insurance underwriting job knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies. Contributes to insurance underwriting and organization success by welcoming related, different, and new requests; helping others accomplish job results. **SUPERVISORY RESPONSIBILITY:** This position manages people. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree or in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. **Experience:** + 5 years progressive underwriting experience group health, medical, ancillary and/or pharmacy. + 1 year supervisory experience pr demonstrated progressive leadership experience. **Preferred Qualifications:** + Medical Stop Loss insurance. + Minimum of 5 years Stop Loss Underwiring Experience. + Previous Stop Loss Underwriting Management Experience. **Knowledge, Skills and Abilities (KSAs)** + Knowledge of Stop Loss Insurance risk analysis, pricing, and product. + Knowledge of insurance underwriting methods and procedures. + Excellent communication skills both written and verbal. + Skill in monitoring/assessing the performance of self, other individuals, or organizations to make improvements or take corrective action. + Ability to maintain effective interpersonal relationships. + Knowledge of compensation insurance; rules, classifications, statues, and rates. + Ability to apply underwriting methods to create comprehensive reports. + Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. **Salary Range:** $112,080 - $208,049 **Salary Range Disclaimer** The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Stop Loss Administration **Equal Employment Opportunity** CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. **Where To Apply** Please visit our website to apply: www.carefirst.com/careers **Federal Disc/Physical Demand** Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. **Sponsorship in US** Must be eligible to work in the U.S. without Sponsorship \#LI-CN1 REQNUMBER: 20870