Senior Renewal Underwriter
Company | ParetoHealth |
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Location | Salt Lake City, UT, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | Bachelor’s |
Experience Level | Senior |
Requirements
- Bachelor’s degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
- Minimum of 4 years of experience in stoploss underwriting, with a proven history in handling complex health risks.
- Proficiency in underwriting software, data analysis tools, and Microsoft Office Suite.
- Exceptional ability to analyze data, identify trends, and solve underwriting challenges.
- Excellent communication and negotiation skills, with the ability to articulate technical concepts to a non-technical audience.
- Strong collaborator, capable of working effectively in a dynamic and collaborative environment.
- Strong understanding of stoploss products/self-funding, healthcare industry trends, and regulatory landscape.
Responsibilities
- Conduct thorough risk assessments of current Pareto Self-funded health plans and determine appropriate stoploss coverage levels and premiums.
- Analyze healthcare data, including claims and utilization patterns, to forecast potential risks, cost implications, and appropriate support.
- Perform medical underwriting review of individual large claimants based upon self-funded reporting both with and without supporting nurse review resources.
- Effectively execute in an environment of incomplete information.
- Understand competitive market dynamics and react appropriately.
- Partner with account management to ensure appropriate pricing rationale is understood and messaged externally, while considering consultant / customer dynamics.
- Provide guidance and training to junior underwriters and other team members, enhancing the overall expertise of the department.
- Enhance your own skills around knowledge of medical treatments and projected costs in partnership with the clinical risk team.
- Ensure adherence to industry standards and legal requirements in all underwriting decisions and practices.
Preferred Qualifications
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No preferred qualifications provided.