AVP, Underwriting Major Group

Position Purpose

As the AVP of Underwriting Major Group, you will be responsible for the selection of acceptable health underwriting risks and insuring that prospective and renewal business is maintained at adequate and competitive rate levels. The AVP of Underwriting Major Group directs all activities associated with underwriting and policy processing for the company. You will also be responsible for the strategic and tactical management of the underwriting staff as well as maximizing premium production while minimizing financial risk, and underwriting of new/renewal contracts. Decisions made in this position have the opportunity to produce income and/or prevent loss.

Responsibilities

• Manages the Large Group Underwriting department.

• Oversees the fully insured and self-insured underwriting activities of Large Group products. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing.

• Manages and oversees Stop Loss Underwriting department. Interfaces with external stop loss carriers and MGU's. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, and policy processing.

• Manages the Dental Underwriting department. Oversees the fully insured and self-insured underwriting activities of Individual products. This includes risk selection, determination of benefits, policy issuance rates and price, provision of service, reinsurance, and policy processing.

• Develops and updates underwriting rules and regulations applicable to regional underwriting, ensuring compliance with appropriate state and federal regulations.

• Develops and maintains external agency relationship strategies to foster long term relationships, consistent growth, and knowledge of competitive underwriting practices.

• Works closely with internal functional areas (Finance, Claims, Membership, Marketing, Premium Audit) to achieve company goals.

Qualifications

• Required Education: Bachelor's degree
• Required Experience:
  • 10+ years Underwriting experience.
  • 3 years Management experience or equivalent military experience in grade E5 or above (may be concurrent).
• Required Skills and Abilities:
  • Knowledge of insurers/competitive practices preferably in the following: underwriting of large group, small group, individual classes, dental, ASO, and stop loss.
  • Knowledge of the operations of the corporation and its various subsidiaries. Understanding of advanced mathematics and rating methodologies.
  • Ability to understand medical records information and their impact on underwriting.
  • Knowledge of South Carolina as well as federal insurance laws and regulations.
  • Excellent communication (verbal and written), presentation, and interpersonal skills.
  • Ability to exercise good judgment with a capacity of communicating with a diverse range of individuals.
  • Proven ability to organize and manage multiple priorities.
  • Strong analytical, strategic planning, and decision‑making skills.
  • Ability to adapt to ever changing business environment/priorities.
  • Proficiency in word processing and spreadsheet software.

Preferred Qualifications

• 10+ Years-Underwriting experience to include Large Group, Small Group, Individual, and Self Insured.
• Exceptional understanding of risk and health delivery systems.
• Experience working national accounts.
• Microsoft Office, with proficiency in Excel.
• Excellent communication, presentation, decision‑making and analytical skills.
• Demonstrated problem‑solving skills, understanding of key health care financial and operational metrics.
• Strong financial acumen.
• Strong grasp on all aspects of the funding arrangements to include pharmacy and stop loss.
• Understanding of the Blue system and Blue Card.

Benefits

We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.

• Subsidized health plans, dental and vision coverage
• 401k retirement savings plan with company match
• Life Insurance
• Paid Time Off (PTO)
• On‑site cafeterias and fitness centers in major locations
• Education Assistance
• Service Recognition
• National discounts to movies, theaters, zoos, theme parks and more

Location

This position is full‑time (40‑hours/week) Monday‑Friday working ONSITE at our 4101 Percival Road, Columbia, SC location.

Equal Employment Opportunity Statement

BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy‑related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.

If you need special assistance or an accommodation while seeking employment, please email or call 800‑288‑2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case‑by‑case basis.

We participate in E‑Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.

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