Group Renewal Senior Underwriter

MCS Puerto Rico; San Juan (PR); On-site; USD 85,000 - 115,000; Full time

Job summary

MCS Puerto Rico is seeking an experienced Underwriting Analyst to lead the analysis, interpretation, and evaluation of utilization, claims, benefits, and risk information for fully insured group health and life accounts.

You will develop renewal rate strategies, validate pricing methodologies, and drive improvements to underwriting tools and processes to support profitability and efficient operations. Collaboration with management and cross-functional teams is essential.

Qualifications

• Bachelor's degree in BA with relevant concentration; 4+ years data analysis or underwriting experience.
• Experience with databases, reporting tools, and quantitative analysis.
• Knowledge of fully insured group renewals and pricing strategies.
• Strong analytical and modeling skills; ability to interpret health insurance data.

Responsibilities

• Lead evaluation of utilization and financial data to develop renewal pricing recommendations.
• Develops, validates actuarial models and pricing tools for renewal analyses.
• Determines claim projections and pricing assumptions based on trends and indicators.
• Provide pricing guidance and leadership insights to executives and cross-functional teams.

Skills

Data analysis

Underwriting

Pricing

Financial analysis

Renewals

Education

Bachelor's degree in Business Administration (BA) with relevant concentration

Tools

Databases

Reporting tools

Job description

GENERAL DESCRIPTION

Responsible for leading the analysis, interpretation, and evaluation of utilization, claims, benefits, and risk information for fully insured group health and life insurance accounts. Develops renewal rate strategies, validates pricing methodologies, recommends risk assumptions, and drives improvements to underwriting tools and processes to support profitability, operational efficiency, and sound business decision-making. Serves as a technical resource for the underwriting team and participates in strategic initiatives impacting the function.

Regular Exempt

ESSENTIAL FUNCTIONS

• Leads the evaluation of utilization, claims, demographic, benefits, and financial data to develop renewal pricing recommendations and assess risk exposure for fully insured accounts.
• Develops, modifies, and validates statistical methodologies, actuarial models, and pricing tools used in renewal and underwriting analyses.
• Determines claim projections and pricing assumptions by evaluating utilization trends, actuarial factors, high-cost claims, clinical forecasts, and other key risk indicators.
• Recommend premium levels, rate structures, and risk strategies for complex renewal cases, partnering with management to mitigate financial exposure and support profitability objectives.
• Evaluates the financial performance of Retrospective Premium Agreements and provides insights and recommendations to leadership regarding their impact on portfolio results.
• Leads enhancements, updates, and maintenance of underwriting models, analytical tools, and reporting solutions to meet evolving business needs.
• Serves as a subject matter expert for technology initiatives, process improvements, and projects impacting underwriting operations and renewal management.
• Provides consultative support to Account Executives, management, and cross-functional teams through pricing guidance, negotiation support, portfolio reporting, and analysis for executive decision-making.
• Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
• May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.

MINIMUM QUALIFICATIONS

Education and Experience: Bachelor's degree in Business Administration with a concentration in Statistics, Finance, Quantitative Methods, Mathematics, Economics, or a related field. At least four (4) years of experience in data analysis, health insurance underwriting, pricing, financial analysis, or fully insured group account renewals. Experience working with databases, reporting tools, and quantitative analysis is preferred. Experience within the health insurance industry is highly desirable.

"Proven experience may be replaced by previously established requirements."

Certifications / Licenses: N/A

Other: N/A

Languages

• Spanish - Intermediate (comprehensive, writing and verbal)
• English - Intermediate (comprehensive, writing and verbal)

"We are an Equal Employment Opportunity Employer and take Affiantive Action to recruit Protected Veterans and Individuals with Disabilities."