Qureos Mentor

Skyward Specialty Insurance

<div>The Senior Underwriter OR AVP is responsible for underwriting new and renewal medical stop-loss accounts at a profitable level. This role involves managing relationships with producers and customers to ensure alignment with overall company stop-loss goals. The Senior Underwriting position works closely with the other team members in the region and with the sales team to identify business and producers that most closely meet our underwriting acumen.
Key Responsibilities:
<ul><li>Evaluate risk for in-force business and new business prospects. Make decisions to quote or decline to quote and develop premium rates in accordance with underwriting guidelines and authority limits.
</li><li>Develop and communicate new business or renewal rate recommendations and decisions in line with underwriting authority limits.
</li><li>Prepare and generate correspondence, proposals, and other reports as needed.
</li><li>Provide detailed explanations to Skyward A&amp;H clients regarding conditions and requirements of quotes, rating decisions, and other information to support the sale of new and renewal business.
</li><li>Coordinate medical reviews with the clinical risk management team and make recommendations regarding the level of acceptable risk.
</li><li>Negotiate rates, terms, and conditions for new and existing business.
</li><li>Manage the new business and renewal book to balance profitability and growth.
</li><li>Process sold accounts and confirmed renewals following established procedures.
</li><li>Develop and maintain relationships with clients, producers, and sales representatives to support the company&rsquo;s production goals and persistency.
</li><li>Support Skyward A&amp;H growth initiatives related to reference-based pricing, captive, and small group programs.
</li><li>Review plan design and calculate rates for requested or recommended plan changes.
</li><li>Provide competitive feedback on rates, products, pricing, and marketing strategies.
</li><li>Make presentations to peers, producers, and leadership as necessary.
</li><li>Utilize departmental tools, experience, and judgment during the underwriting process to set pricing, review risk, negotiate, and accomplish goals.
</li><li>Assist associate underwriters with training and peer review.
</li><li>Perform other duties as assigned.
</li><li>Some travel may be required for trainings and/or meetings (less than 10%).
</li></ul>Continuous Learning and Development:
<ul><li>Stay current with industry trends, regulatory changes, and competitive landscape to ensure the company remains at the forefront of underwriting practices.
</li><li>Participate in training sessions and professional development opportunities.
</li></ul>Education &amp; Experience:
<ul><li>Bachelor&rsquo;s Degree preferred.
</li><li>5+ years of experience underwriting medical stop-loss required.
</li><li>Preferred experience underwriting reference-based pricing, captives, and/or small group programs.
</li><li>Professional certifications (HIAA, CEBS, FMLI, etc.) beneficial.
</li></ul>Skills:
<ul><li>In-depth knowledge of underwriting principles, risk assessment, and regulatory requirements.
</li><li>Proven track record of developing and implementing successful underwriting strategies and policies.
</li><li>Strong analytical and decision-making skills, with the ability to evaluate complex transactions.
</li><li>Ability to prioritize and balance a dynamic workload.
</li><li>Strong communication and interpersonal skills, with the ability to build relationships with internal and external stakeholders.
</li><li>Proficiency in underwriting software (Connexure/ESL preferred) and other relevant technology.
</li></ul>Compensation &amp; Benefits
The applicable base salary for this opportunity is $100,000 - $170,000. The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. In addition to the base salary, this opportunity may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition and professional certification assistance, 401k savings, elective participation in the Employee Stock Purchase Program, paid time off, paid holidays, and child bonding leave, as well as other employee assistance.
#LI-Remote</div>

Sr. Underwriter OR AVP, A&H Captives Underwriting

<div>The Claims Intake Specialist supports the Claims team by managing incoming claim-related correspondence, organizing electronic claim files, and assisting claims professionals with administrative and document preparation needs. This role is highly detail-oriented and helps ensure claim documentation is processed accurately, timely, and in accordance with internal workflows&mdash;while contributing to continuous process improvement.
Essential Responsibilities
<ul><li>Sort, order, index, and file claim-related mail received via email.
</li><li>Claim set up.
</li><li>Create and organize ImageRight folders/zip folders as needed to support claim file structure and accessibility.
</li><li>Draft documents and provide administrative and operational support to claims professionals.
</li><li>Assist with special projects and other duties as needed due to business change and growth.
</li><li>Participate in continuous claims process and operational improvement efforts, including identifying workflow efficiencies and supporting implementation of improvements.
</li></ul>Qualifications
<ul><li>3+ years of administrative support experience.
</li><li>Insurance industry (Claims) experience is a plus, but not required.
</li><li>Highly organized and efficient in a fast-paced, multi-task environment; able to prioritize effectively to accomplish objectives with creativity and enthusiasm.
</li><li>Working knowledge of Microsoft Office applications (e.g., Outlook, Word, Excel).
</li><li>Ability to work well with people in a high-performing environment, supporting teamwork and collaboration.
</li></ul>Key Skills &amp; Attributes (Preferred)
<ul><li>Strong attention to detail and commitment to accuracy.
</li><li>Professional written communication and document formatting skills.
</li><li>Ability to manage repetitive tasks while maintaining quality and speed.
</li><li>Customer-service mindset when supporting internal stakeholders.
</li></ul>Compensation &amp; Benefits
The applicable base salary for this opportunity is $50,000 - $60,000. The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. In addition to the base salary, this opportunity may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition and professional certification assistance, 401k savings, elective participation in the Employee Stock Purchase Program, paid time off, paid holidays, and child bonding leave, as well as other employee assistance.</div>

Claims Intake Specialist - Accident & Health

<div>Summary
The Senior Claims Adjuster manages all components of claim handling for the Management Liability line of business. Independently reviews submitted materials and policy documents, performs complete coverage analysis, and prepares coverage determination correspondence. Reviews and provides direction on reserve and settlement authority, where required, on complex, specialized claims including D&amp;O, EPL, Fiduciary, Commercial Crime, Financial Institution E&amp;O, Financial Institution bonds and Representations and Warranties/ transactional liability. Supports business partners through communication about specific claims, identification of claim trends, input on development, and marketing support. Monitors claim quality and customer feedback to ensure compliance with regulatory requirements, customer satisfaction and achievement of corporate objectives. Independently operates within company guidelines and authority levels in the settlement of claims. Makes appropriate decisions on coverage and strategic settlement of claims. Reviews and assigns new files as needed.
 Principal Duties and Responsibilities
<ul><li>Ensure execution of proper claim handling strategies; including appropriate determination of coverage, liability, damages and claim resolution under various D&amp;O, EPL, crime/bond, financial institution, and Reps &amp; Warranties policies.
</li></ul><ul><li>Ensure proper reserving to achieve compliance with corporate policy.
</li></ul><ul><li>Manage claim litigation, including strategizing with defense counsel and experts.
</li></ul><ul><li>Analyze coverage and prepare coverage letters. Proficiency in financial lines insurance coverage required.
</li></ul><ul><li>Negotiate settlements and attend mediations, arbitrations, and trials as appropriate.
</li></ul><ul><li>Prepare required Large Loss Reports and Trial Alerts.
</li></ul><ul><li>Make decisions and recommendations for claim disposition, including evaluation, negotiation, and settlement.
</li></ul><ul><li>Develop and implement strategies to correct adverse trends.
</li></ul><ul><li>Maintain a strong professional knowledge of competitive, regulatory, and legal environments and apply this information effectively.
</li></ul><ul><li>Consult with other staff and may participate on related projects.
</li></ul><ul><li>Anticipate and meet all customer needs (internal and external).
</li></ul><ul><li>Prepare for and attend claim review meetings with business partners within specialized business units.
</li></ul>Other responsibilities as assigned. 
<ul><li>
</li></ul> 
Qualifications:
<ul><li>Bachelors degree required
</li></ul><ul><li>JD highly preferred
</li></ul>Minimum of 3 years D&amp;O claims (public and private company) experience or related education/experience 
<ul><li>
</li></ul>Knowledge, Skills and Abilities
<ul><li>Must possess high level skills and extensive claims technical knowledge including D&amp;O, EPL, and Financial Institution products and industry.
</li></ul><ul><li>Ability to successfully work autonomously and take initiative.
</li></ul><ul><li>Extensive knowledge of legal principles, and policy interpretation. Prior D&amp;O coverage experience required.
</li></ul><ul><li>Genuine curiosity, resourcefulness, and ability to learn complex products such as Reps &amp; Warranties.
</li></ul><ul><li>Must possess expert analytical, decision making, negotiation, problem-solving, project management, organizational, and teamwork skills.
</li></ul><ul><li>Must demonstrate superior written and oral communication skills and the ability to communicate professionally with all levels of the organization.
</li></ul><ul><li>Demonstrated strategic thinking capabilities.
</li></ul><ul><li>Demonstrated proficiency with computer software including Microsoft Office suite and other Claims tracking tools.
</li></ul>Compensation &amp; Benefits
The applicable base salary for this opportunity is $100,000 - $150,000. The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. In addition to the base salary, this opportunity may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition and professional certification assistance, 401k savings, elective participation in the Employee Stock Purchase Program, paid time off, paid holidays, and child bonding leave, as well as other employee assistance.
#LI-Remote</div>

Sr. Claims Adjuster - Management Liability

Join Skyward Specialty Insurance and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Skyward Specialty Insurance

About Company

Sr. Underwriter OR AVP, A&H Captives Underwriting

Claims Intake Specialist - Accident & Health

Sr. Claims Adjuster - Management Liability