Senior Underwriter, Medical Stop Loss (Clinical) at Everest Global Services, Inc. in Los Angeles, California

Posted in Other 5 days ago.





Job Description:

Title:
Senior Underwriter, Medical Stop Loss (Clinical)


Company:
Everest Reinsurance Company


Job Category:
Underwriting


Job Description:


It's an exciting time for Everest Re Group, Ltd. ("Everest")! As we continue on our journey, we see significant opportunity ahead of us to expand our reach, build diversity, and enhance our capabilities in critical markets.


Everest is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in the Bermuda, Canada, Europe, Singapore, US, and other territories. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. But the most critical asset in this organization is our people.


At Everest, we are committed to the development of our people. We offer dynamic training & professional development to our employees. You will benefit from career development and learning opportunities that will let you set career goals and fulfill them, including:


• Generous tuition/continuing education reimbursement


• Mentoring opportunities


• Flexible work arrangements


• Talent development initiatives


• Networking groups


Everest is a growth company with $10.5 Billion of Gross Written Premium offering Property, Casualty and specialty products among others, through its various operating subsidiaries located in key markets around the world. Everest has been a global leader in reinsurance with a broad footprint, deep client relationships, underwriting excellence, responsive service and customized solutions. Our insurance arm draws upon impressive global resources and financial strength to tailor each policy to meet the individual needs of our customers.


Our financial strength is evident in Financial Agency Ratings of: A+ A. M. Best, A+ S&P Global and A1 Moody's Investor Service. We are a market leader for our broad diversified income streams, strong underlying underwriting performance with reduced volatility and strong cash flow. We take pride in being known in the industry as nimble, entrepreneurial and responsive.


To support this, we are currently looking for a Senior Underwriter, Medical Stop Loss (Clinical), with our focus being on the candidate's clinical skill set.


Responsibilities include but are not limited to:


  • Perform clinical research to determine dollar value of risk, appropriate lasering, etc.


  • Provide recommendations on case level medical/clinical reviews that are part of the underwriting process.


  • Evaluate, peer review pricing and propose rate and strategy on new and renewal Medical Stop-Loss Insurance prospects.


  • Use Excel and Everest's account management system to write reports and perform analyses on groups or blocks of business.


  • Manage the sold case process including underwriting terms and conditions and administrative reporting.


  • Manage assigned workload to meet productivity and time service standards.




Qualifications and Work Experience



  • Medical / Medical Stop Loss experience required with a significant, strong clinical background and / or a degree in nursing (R.N.) is highly desirable.



  • 8 or more years of medical stop loss or large group underwriting experience; or combination of claims or clinical experience.


  • Ability to work both independently as well as in a team environment including other underwriters, actuarial, claims and administration.


  • Hands-on experience with PredictDx and PredictRx (or similar applications) is highly preferred.


  • Experience with other A&H product lines.


  • Experience with ERISA plans and medical stop loss policy forms.


  • Comfort using various medical stop loss pricing manuals and rating models.


  • Fluency or great proficiency in interpreting and using medical terminology.


  • Proficiency using Microsoft Excel.


  • Strong communication and analytical skills required.


  • Must be detail oriented and have the ability to multitask and manage a high-volume workload.




#LI-REMOTE


For NYC Only: The base salary range for this position is $90,000 - $160,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications, and work location.


Type:
Regular


Time Type:
Full time


Primary Location:
Warren, NJ


Additional Locations:
Atlanta, GA, Boston, MA, Chicago, IL - South Wacker (inactive), Houston, TX, Indianapolis, IN, Los Angeles, CA, Miami, FL, New York, NY, Orange, CA, Philadelphia, PA, Remote, SC, Remote, United States, San Francisco, CA, Stamford, CT, Tampa, FL, Walnut Creek, CA


Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Talent Acquisition at 1-908-604-3000.
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