Posted in

Senior Renewal Underwriter

Senior Renewal Underwriter

CompanyParetoHealth
LocationPhiladelphia, PA, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesBachelor’s
Experience LevelSenior

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

    No preferred qualifications provided.