Senior Group Medical Underwriter - Risk & Pricing Expert

Highmark Health; Kentucky; On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Health in Kentucky seeks an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. You will assess risk, determine profitability, and guide pricing to align with HMIG strategy.

The role involves reporting, data analysis, and collaborating with internal teams and brokers. Required are a quantitative degree and 6+ years in underwriting self-funded or converted plans, with strong math skills and regulatory

Qualifications

• Bachelor's degree in a quantitative field is required.
• 6+ years underwriting experience in self-funded and converting fully insured prospects to self-funding.
• Strong math aptitude and analytical skills.
• Ability to apply corporate risk management policies and pricing guidelines.

Responsibilities

• Renewals and new business pricing at profitable levels to meet targets.
• Calculate rates, interpret pricing policy and adapt to unusual situations.
• Identify questionable claim patterns and adjust pricing recommendations.
• Apply risk management policies for unusual scenarios.
• Ensure clients comply with enrollment rules and corporate policies.
• Support fraud detection, compliance, and product development initiatives.
• Complete renewals and quote reviews with timeliness and accuracy.

Skills

Underwriting

Pricing analysis

Risk assessment

Financial reporting

Stakeholder communication

Data analysis

Education

Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline

6+ years relevant, progressive experience in underwriting

Job description

Highmark Health in Kentucky seeks an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. You will assess risk, determine profitability, and guide pricing to align with HMIG strategy.

The role involves reporting, data analysis, and collaborating with internal teams and brokers. Required are a quantitative degree and 6+ years in underwriting self-funded or converted plans, with strong math skills and regulatory