Underwriting Consultant – Pharmacy (Remote)

Resp & Qualifications

Purpose…

The Underwriting Consultant underwrites more complex new policies and modifications to existing group contracts. Frequently interacts with agents/applicants on problem cases. Performs case quality audits and training of less seasoned Underwriters’ work.

Essential Functions:
• Applies underwriting policies and procedures to complex situations and/or large groups to evaluate risks. Monitors trends and identifies the need for new or revised underwriting policies, procedures, and practices. Recommends changes to underwriting leadership.
• Provide leadership and guidance junior members in preparing financial analysis.
• Meets insurance underwriting operational standards by contributing information to strategic plans and reviews; resolving problems; identifying system improvements.
• Completes insurance underwriting by enforcing adherence to internal and external underwriting policies, procedures, guidelines, and regulations; reviewing risk acceptability; auditing files; declined files, and large limits; evaluating loss history, financial statements, and loss control surveys; reviewing work volumes, turn times, and workflow. Prepares insurance information and reports by collecting, analyzing, and summarizing data and trends.
• Resolves insurance problem escalations by reviewing file documentation; evaluating options; applying guidelines. Improves insurance product profitability by tracking and analyzing product results; evaluating trends; identifying deficit accounts. Maintains customer confidence and protects organization operations by keeping information confidential, cautioning others regarding potential breaches.
• Improves insurance underwriting and leadership 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.
• Qualifications

Education Level: Bachelor’s Degree. 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: 8 years underwriting experience in group health, medical, ancillary benefits and/or pharmacy

Licenses/Certifications

Associate in Personal Insurance, Commercial Underwriter

Chartered Life Underwriter Upon Hire

Knowledge, Skills and Abilities (KSAs)
• 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.

Salary Range: $84,816 – $168,454

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

Pharmacy Underwriting

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.

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