Stop Loss Program Specialist
Physicians Insurance A Mutual Company is dedicated to protecting, defending, and supporting our Members. As a national boutique mutual insurance company, we passionately serve all our Members and partners with our suite of medical professional liability offerings. We help them overcome obstacles with a team providing underwriting, risk-management, claims, and stop-loss expertise—backed by strong financials and all supported by exceptional, personalized service. In every communication, every expert opinion, every risk assessment, and every claim, all our Members experience the positive impact of our mission on their professional lives. And with over 8,500 Members and growing, this experience is in evidence all over the nation.
We currently have an exciting opportunity for a Stop Loss Program Specialist to join a well-established company in a department that is rapidly growing and expanding with new partners and in new jurisdictions.
The Stop Loss Program Specialist is responsible for assisting with the oversight, compliance, and growth of our Provider Excess, HMO Reinsurance, and Employer Medical Stop Loss (ESL) products through serving as our technical expert in these lines. This person will work closely with the Stop Loss team to support and oversee the performance of Physicians Insurance’s Managing General Underwriter (MGU) partners, including through regular audits, underwriting referrals, and reviewing financial data.
Responsibilities include but are not limited to the following:
- Review and analyze MGU underwriting referrals, including providing analysis and documentation for decisions
- Serve as ESL underwriting subject matter expert for audits of MGUs and assist in developing audit policies and procedures
- Maintain and update Company Underwriting Guidelines to respond to marketplace changes
- Assist in oversight of policy revisions, filings, and state-specific requirements for geographic expansion
- Review policy and endorsement drafts from our MGU partners, ensuring compliance with state filing parameters and company best practices
- Maintain an awareness of market trends within the employer medical stop loss industry
- Cross train for coverage on claim processing, claim review, premium entry, and report generation for legacy business
- Assist in data collection efforts and maintaining data integrity of our internal files
- Assist in reviewing and analyzing monthly data from MGU partners
- Collaborate with Marketing & Communications on developing and updating collateral including website content, flyers, brochures, and advertisements
- Regularly meet with key partners including MGU, reinsurance, and broker partners to foster relationships
- Perform other duties and responsibilities as required
- 4-year college or university degree or equivalent industry experience
- 5 plus years of Employer Stop Loss, Managed Care Risk-Based Underwriting or related work experience in health insurance or related industry
- Sound Knowledge of Stop Loss Products and Pricing
- Solid Knowledge of the Underwriting Discipline and strong understanding of Employee Benefit Plans
- Ability to thrive in a flexible work environment, where tasks may vary and evolve, and a willingness to adapt to changing priorities and assignments as needed
- Ability to travel to key partners and industry events as necessary to accomplish department goals. Typical travel destinations include the Seattle office, brokerages in the Northwest, and MGU partners in the Midwest and East Coast.
- Excellent interpersonal skills and ability to work in a collaborative team environment
- Excellent grammar, writing, and proofreading skills, with an attention to detail
- Strong commitment to customer service, internally and externally
To apply for this position, send your resume to recruiter@phyins.com.
The salary range for this position is $88,000 to $131,900. Starting salary is determined by several factors, including job-related skills, experience, and relevant education or training. This position is also eligible for an annual company bonus at an incentive target level of 8%.
We also offer a comprehensive benefits program, including a generous retirement program and Paid Time Off. Please visit www.phyins.com/careers for detailed benefit descriptions.
At Physicians Insurance, you’ll find an exceptional hybrid work environment and the opportunity to work for an industry leader whose programs have a positive impact on insurance and healthcare.
OUR PURPOSE:
To protect, defend, and support our Members.
OUR VALUES:
People-First - we treat everyone with respect and empathy.
Expertise - we strive to be the best at what we do.
Commitment - as a mutual company, we are accountable and dedicated to our Members and to each other.