Data-Driven Health Insurance Renewal Underwriter

AppleOne Employment Services; San Juan (PR); On-site; USD 47,000 - 63,000; Full time

Job summary

AppleOne is seeking a Renewal Underwriter for a direct hire in San Juan, PR. The role focuses on collecting and analyzing utilization, claims, benefits, and financial data to support accurate rate recommendations and profitability.

The candidate will evaluate plan design changes, prepare projections, and collaborate with Account Executives and internal teams to deliver renewal analyses.

Qualifications

• Bachelor's degree in a related field (Business Admin with quantitative focus).
• Minimum of 2 years in data analysis, health insurance underwriting, pricing, financial analysis, or fully insured group account renewals.
• Strong analytical skills to interpret claims, utilization, demographic, and financial data.
• Experience with databases, reporting tools, and quantitative analysis.
• Ability to apply established methodologies and actuarial factors to pricing and claims projections.

Responsibilities

• Collect, validate, and analyze claims, utilization, benefits, demographic, and financial data for fully insured group renewals.
• Prepare claims projections, pricing support analyses, and renewal evaluations using established methodologies and actuarial factors.
• Review plan utilization trends, claims experience, renewal history, and account performance to identify key cost drivers and variations.
• Evaluate the financial impact of plan design changes, including copayments, deductibles, and coinsurance.
• Extract, maintain, and organize data from internal systems to support underwriting and pricing analysis.
• Collaborate with Account Executives and internal departments by providing renewal-related analysis and responding to information requests.

Skills

Data analysis

Underwriting

Pricing analysis

Financial analysis

Databases

English proficiency

Attention to detail

Documentation

Education

Bachelors in Business Administration (Statistics/Finance/Quantitative Methods)

Tools

Databases

Reporting tools

Quantitative analysis

Job description

AppleOne is seeking a Renewal Underwriter for a direct hire in San Juan, PR. The role focuses on collecting and analyzing utilization, claims, benefits, and financial data to support accurate rate recommendations and profitability.

The candidate will evaluate plan design changes, prepare projections, and collaborate with Account Executives and internal teams to deliver renewal analyses.