Daley And Associates, LLC · 15 hours ago
Underwriting Program Manager - (East Hartford CT / Growing Insurance Company)
Daley And Associates, LLC is a growing Insurance company based in Hartford CT focused on stop loss insurance. They are seeking an Underwriting Program Manager responsible for managing pricing for a specific program's block of stop loss business and ensuring positive contributions from Underwriters to achieve target results.
BankingConsultingFinancial ServicesHuman ResourcesInsurance
Responsibilities
Assess the information provided to develop sound Specific and Aggregate Stop Loss pricing recommendations for both prospective and enforce Employer Stop Loss accounts within the set Underwriting Guidelines
Ability to screen large claims data prior to sending for nurse review
Develop strategic relationships with sales and underwriters, brokers, third-party administrators (TPAs) and other external and internal partners
Consult clients on plan designs and stop loss coverage
Actively participate in the sales process by working with the sales team to formulate successful strategy
Makes independent decisions within underwriting letter of authority and maintains proper file documentation
Assesses submissions and scenarios that exceed or fall outside underwriting authority or established guidelines, developing clearly articulated exception recommendations for executive-level review
Provides detailed justification, risk analysis, and strategic context to support leadership decisions
Approves or Declines, and provides alternate suggestions to the other Underwriters working on the team
Manages assigned workload to meet productivity and timely service
Manages the workload and makes sure work is evenly distributed to all Underwriters work on that specific program
Ability to identify drivers of medical expenses in new and renewal cases
Provide feedback to Senior Management to develop Underwriting policies and procedures as necessary
Coaches and mentors underwriting staff to strengthen technical skills, risk assessment capabilities, and strategic decision-making
Develops team members through structured feedback and training to achieve consistently high performance and service excellence
Coordinates with Administration to provide documentation in compliance with Underwriting policies and procedures for Audit
Maintain a profitable block according to department goals
Qualification
Required
Knowledge and understanding of healthcare payers, health plan administration, and medical service providers
Advanced Knowledge of Medical Underwriting practices and principles
Possesses strong communication and problem solving skills
Advanced risk management and math skills
Strong interpersonal skills necessary to interact with sales, brokers, producers and clients
Bachelor's Degree from an accredited institution or equivalent work experience
Minimum of 10 years of experience in medical stop loss underwriting
Preferred
3 or more years of previous experience managing teams is strongly preferred
Benefits
Excellent benefits
Company
Daley And Associates, LLC
Daley and Associates is a boutique executive search and contract staffing firm specializing in the placement of Accounting, Finance, Information Technology, Legal, Administrative and Life Sciences professionals.