Associate Medical Stop Loss Underwriter

Highmark Health; California (MO); On-site; USD 50,000 - 65,000; Full time

Job summary

A leading company is seeking an entry-level Underwriter to analyze pricing quotes and contract structures. The role involves assessing risk factors and preparing reports under the guidance of Senior Underwriters. Ideal for candidates looking to grow in underwriting and risk management.

Qualifications

• Entry-level position with oversight from Senior Underwriters or Management.

Responsibilities

• Analyze pricing quotes and contract structures based on claims experience.
• Identify quotes to decline based on HMIG strategies.
• Prepare reports on underwriting results and rate calculations.

Job description

This job involves pricing quotes and analyzing the structure of contracts for groups based on claims experience, employee group characteristics, etc. The incumbent develops and exercises discretion within underwriting authority, aligned with HMIG policies, ensuring profitability and growth. They identify when to decline quotes that do not align with HMIG strategies and analyze risk factors for new enrollments, renewals, and amendments in accordance with established policies and standards. The role includes analyzing policies, guidelines, market data, and other relevant information to improve risk management and optimize enrollment or manage existing memberships. Data such as financial conditions, participation rates, industry types, and past claims are used to determine benefits and set rates. The position involves preparing reports and providing rationale and support regarding underwriting results, rate calculations, and financial activity. This is an entry-level position with oversight from Senior Underwriters or Management until familiar with company procedures and policies.