• Job Description

  Req#: R0043530

  At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

  Join HCSC and be part of a purpose-driven company that will invest in your professional development.

  Job Summary

  Responsible for Stop Loss quoting and rating proposals and renewal projections and approves cases within established authority guidelines. Responsible for manual reconciliations of PBM data under the stop loss as well.

  Required Job Qualifications:
  * Bachelor degree or 3 years of experience in a group health insurance function.
  * 3 years of experience underwriting cases of lessor complexity OR Demonstrated capability to meet required job responsibility.
  * Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions.
  * Math skills including the four basic math calculations (addition, subtraction, division & multiplication) and ability to estimate for mathematical reasonableness.
  * Successfully demonstrated interpersonal skills establishing and maintaining business relationships.
  * Independent judgment and problem resolution skills.
  * Work management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines.
  * Verbal and written communication skills to include correct grammar, word choice, precision, conciseness, structure, audience appropriate tone and language.
  * PC proficiency to include Word and Excel.
  * Successfully Demonstrated skills and experience in presenting to external clients.
  * Extensive knowledge and skill applying state and federal legislation governing underwriting practices.
  * Effective Negotiation skills.
  * Successfully demonstrated skills for performing risk qualification.
  * Financial analysis and underwriting skills.
  * Successful experience achieving positive results dealing with customers, consultants and brokers.
  * Skills to deliver on the job training.
  * Extensive experience-based knowledge of group medical products, discount practices, stop loss and performance guarantees.
  
  Preferred Job Qualifications:
  * For Large Group and/or Major National Accounts: Demonstrated experience to underwrite experience rated and manually rated health insurance products with sound underwriting judgment.
  * Knowledge of the Blue System and ability to price National business.
  * In-depth knowledge of Stop Loss pricing
  * Stop Loss settlement reconciliation experience
  * Project management experience
  * Proficient in Ms. Excel

  Please note that this role is HYBRID with an in-office requirement of 3 days a week

  #LI-LK1

  #LI-Hybrid

  #INJLF

  Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

  Pay Transparency Statement:

  At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

  The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

  HCSC Employment Statement:

  We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

  Base Pay Range

  $60,300.00 - $133,400.00

• About the company

  Health Care Service Corporation (HCSC) is the largest member-owned health insurance company in the United States. HCSC offers a wide variety of insurance products and related services through Blue Cross and Blue Shield® of Illinois, Blue Cross and Bl...

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