Senior Medical Stop Loss Underwriter

Highmark Health; Pennsylvania; Remote; USD 67,000 - 126,000; Full time

Job summary

A leading health company is seeking a Senior Medical Stop Loss Underwriter to manage accounts and analyze risk for profitability. This full-time position offers remote options and involves significant interaction with stakeholders, requiring a Bachelor's degree or extensive experience in underwriting.

Qualifications

• Bachelor's Degree in a quantitative field or 6 years relevant experience.
• 5-7 years in underwriting self-funded and converting fully insured prospects.

Responsibilities

• Manage a portfolio of accounts, renewing and acquiring new business profitably.
• Calculate rates, interpret pricing policies, and adapt to unusual situations.
• Identify questionable claim patterns and develop recommendations.
• Support internal initiatives like fraud detection and wellness programs.

Skills

Strong interaction skills

Proficiency with computer systems

Problem-solving skills

Organizational skills

Negotiation skills

Excellent math skills

Education

Bachelor's Degree in a quantitative field

Job description

Thank you for your interest in employment at a Highmark Health company. Highmark Health uses an online application process. If you participate in the online application process through this Workday site, your personal information will be collected, including but not limited to data such as your resume and resume content, education, contact information, address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide. We will inform you how this data will be used and processed, and seek your consent in accordance with the Highmark Health Data Protection Statement and GDPR Data Protection Consent for Job Applicants.

Senior Medical Stop Loss Underwriter

Apply now. Remote options available in PA, MD, WA, NC, LA. Full-time position. Posted 2 days ago. Job ID: J262391.

Company :

HM Insurance Group

Job Summary :

This role involves pricing quotes and analyzing contract structures based on claims experience, employee group characteristics, and other factors. The underwriter uses discretion within company policies to ensure profitability and growth, while identifying when to decline unsuitable quotes. Responsibilities include risk analysis for new and renewing contracts, preparing reports, and guiding lower-level underwriters.

Essential Responsibilities :

• Manage a portfolio of accounts, renewing and acquiring new business profitably.
• Calculate rates, interpret pricing policies, and adapt to unusual situations.
• Identify questionable claim patterns and develop recommendations.
• Apply risk management policies and adjust pricing accordingly.
• Ensure client compliance with policies and criteria.
• Support internal initiatives like fraud detection and wellness programs.
• Complete renewals and prospect quotes, review work of analysts.
• Communicate policy recommendations clearly and influence sales strategies.
• Guide and assist lower-level analysts.
• Participate in system development and process improvements.

Education :

Required: Bachelor's Degree in a quantitative field or 6 years relevant experience.

Experience :

5-7 years in underwriting self-funded and converting fully insured prospects.

Skills :

• Strong interaction skills with internal and external stakeholders.
• Proficiency with computer systems and applications.
• Ability to work independently on complex projects.
• Understanding of corporate goals, ethical practices, and confidentiality.
• Problem-solving, organizational, and negotiation skills.
• Excellent math skills for analysis.

Licensure :

None required; pursuing industry-related professional designation preferred.

Other Information :

Travel up to 25%. Office-based with occasional travel. Physical demands include lifting up to 25 pounds occasionally.

Disclaimer: This job description outlines general duties and may not include all responsibilities. Compliance with legal and ethical standards, privacy policies, and confidentiality is mandatory.

Salary Range: $67,500 - $126,000, based on experience and location.

Highmark Health is committed to diversity and equal opportunity. For accessibility support or accommodations, contact [e-mail].