Shivan Tove
Plano,TX
Summary
Analytical senior underwriting consultant with expertise in large group fully insured/stop loss renewal and new business within Blue Cross Blue Shield of TX and national accounts with Anthem, Inc. Offering more than twelve years of experience in insurance. Highly adept in underwriting moderate to complex policies, achieving new business and renewal goals and maintaining loss control and risk management levels. Instrumental in facilitating development and deployment of new workflow and job aids to help create efficiency and streamline processes. Proficient in evaluating risk and loss potential and developing information for new and renewal policy contracts. Team-oriented with success in building relationships with internal and external stakeholders to achieve business goals. Recognized consistently for performance excellence and contributions to success within BCBSTX and Anthem, Inc Underwriting business unit offering excellent communication and good judgment.
Overview
12
12
years of professional experience
Work History
Senior Underwriting Consultant
Aetna Inc.
03.2020 - 12.2023
- Manage a book of business of +30 accounts annually and underwrite healthcare accounts up to $50M in revenue and up to 25,000 employees.
- Prepare and deliver accurate quotes for new and renewal business that have been calculated from existing customer data, background pricing and demographic information based from formula workup.
- Coordinated with internal stakeholders to initiate pricing strategies to meet business growth objectives.
- Drove operational improvements which resulted in savings and improved profit margins.
- Perform analysis and risk assessment and accounting for new and renewal business for large group contracts.
- Support underwriting functions for multiple product types, funding arrangements and rating methodologies.
- Evaluate request and develop pricing strategies to accurately rate and deliver new business proposals for growth opportunities.
- Prioritize and communicate with key business partners on deliverables and individual expectations.
- Conduct self and peer review of work for accuracy, able to recommend alternative pricing strategies that are based on financial analysis.
- Resource to peers on various subjects, leverage technical ability with rating system knowledge and other necessary tools that help perform job function.
- Participate on a number of internal work groups on the team that look for way to improve efficiency with workflows and job aids.
- Take part with problem solving sessions to help identify all areas throughout the team that need improvement.
- Support multiple break through objective initiatives that have supported efficiency throughout segment.
Senior Underwriter
Blue Cross Blue Shield Of Texas
02.2012 - 03.2020
- Portfolio Management: Manage a book of business of +300 accounts annually and underwrite healthcare accounts up to $25M in revenue and up to 5,000 employees.
- Responsible for analyzing the portfolio, identifying areas of opportunity for improved growth, profit and executing marketing plans to increase market share with all brokers.
- Access opportunities from New Business accounts; distinguishing, choosing and surveying risks; determining the premium, policy terms and conditions; acquiring approvals; creating/presenting the proposal to sales and marketing and effectively negotiating deals.
- Managing production and issue of contract documentation, ensuring compliance with internal and external regulations and guidelines, and ensuring contribution to the business plan and objectives.
- Apply pricing models as instruments and direction while fitting cost to risk, quality, and coverage terms to guarantee portfolio benefit.
- Present specialized services that Blue Cross Blue Shield could offer our healthcare insureds and how they compared to those of provided by our competitors.
- Underwrite complex custom groups using an extensive mixture of rating applications and approaches. Price for individualized custom medical plans in a variety of funding methods such as: ASO, fully insured, and minimum premium accounts.
- Utilize effective mathematical models to develop complex account renewals and new business that allow our customers flexibility and the ability to choose the best plan for their needs.
- Ensure adherence to loss ratio goals.
- Identify poor cases within block, achieve expected rate increase average and persistency goals.
- Build relationships with internal and external customers by gathering inquiries, researching and analyzing issues, escalating problems as required to ensure understanding of polices.
- Coordinate medical review with Risk Management Team.
- Collaboration with Policy Administration and Claims Departments when necessary.
- Collaborate with marketing by sharing information, recommending solutions to underwriting issues to transfer knowledge and support the achievement of business objectives.
- Continual participation in focus groups to create awareness and improve efficiency among our department and beyond.
- Manage marketing and group/broker expectations through comprehensive explanations of pricing methodology and turnaround delivery at or well in-advance of due date.
- Create reports for use by underwriting management on an ad hoc basis. Built reports tailored for specific tasks using online data platforms.
- Identify process improvement opportunities and involve in developing/executive projects.
- Mentor, train and support Assistant Underwriting associates.
Education
Bachelor of Arts - Criminology
The University of Texas At Dallas
Richardson, TX12.2011
Skills
- Loss protection
- Policy quoting and pricing
- Policy renewal
- Business Development
- Trend Analysis
- Relationship building
- Data analysis
- Risk management
- Time management
- Quality assurance
- Policy Development
- Data management
- Responsible
- Advanced math
- MS Office
- Cultural awareness
- Collaboration
- Planning and Coordination
Timeline
Senior Underwriting Consultant
Aetna Inc.
03.2020 - 12.2023
Senior Underwriter
Blue Cross Blue Shield Of Texas
02.2012 - 03.2020
Bachelor of Arts - Criminology
The University of Texas At Dallas
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