Cambia Health Solutions

VP of Stop-Loss Underwriting

Cambia Health Solutions

full-time

Posted on:

Location Type: Remote

Location: IdahoOregonUnited States

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Salary

💰 $238,900 - $323,200 per year

Job Level

About the role

  • Manages stop loss book of business risk selection and risk classification activities to meet top line growth and bottom-line profitability objectives.
  • Plans, develops and directs the activities of the Underwriting Stop Loss departments within Cambia to meet corporate objectives for stop loss risk management, renewal activity, and new business production.
  • Secures necessary capabilities for stop loss business in total; e.g, premium and billing system, reporting system.
  • Actively engages with state insurance departments to initiate and/or resolve filing issues.
  • Drives process to evaluate and approve external Third-Party Administrators.
  • Represents Cambia and CBRM in AM Best presentations.

Requirements

  • Bachelor's degree in business, math, statistics or related discipline.
  • 12+ years underwriting experience in the health insurance profession with specific responsibilities in stop loss or equivalent combination of education and experience.
  • Develops strategies to meet the corporate goals for contribution to reserves by line of business through rating, reimbursement and risk management strategies.
  • Establishes quote authority limits for all stop loss underwriters.
  • Reviews and Signs-off on all cases above the underwriter's quote authority limits and all exception cases.
  • Responsible for the development and maintenance of the Underwriting Guidelines, annual stop loss underwriting audits of all underwriters, and oversight of the stop loss contracts.
  • Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within Stop-Loss Underwriting.
Benefits
  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commute and parking benefits.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
underwritingrisk managementstop losspremium and billing systemsreporting systemsrating strategiesreimbursement strategiesrisk classificationunderwriting guidelinesauditing
Soft Skills
leadershipstrategic planningcommunicationproblem-solvingcollaborationnegotiationdecision-makinganalytical thinkinginnovationengagement
Certifications
Bachelor's degree