Senior Medical Stop-Loss Underwriter: Growth & Profit Lead

Highmark Health; Kailua (HI); On-site; USD 79,000 - 127,000; Full time

Job summary

HM Insurance Group in Kailua, HI is seeking an experienced underwriting professional to price quotes and analyze group contracts based on claims experience and employee group characteristics.

Responsibilities include maintaining profitability, renewing accounts, and advising on pricing within policy guidelines. Requires strong math skills, collaboration with internal teams, and adherence to HIPAA/privacy standards.

Qualifications

• Bachelor's degree required in a quantitative field.
• 5–7 years underwriting experience.
• Experience with self-funded and converting fully insured prospects to self-funding.

Responsibilities

• Renewals and new business pricing to achieve profitability targets.
• Calculate rates and interpret pricing policies.
• Identify questionable claim patterns and advise on pricing adjustments.
• Apply risk management policies and adjust for unusual situations.
• Ensure compliance with corporate risk management and privacy requirements.
• Provide guidance to lower level analysts and support departmental tools.

Skills

Underwriting

Risk analysis

Financial math

Stakeholder comms

Pricing strategy

Education

Bachelor's degree in quantitative field

Job description

HM Insurance Group in Kailua, HI is seeking an experienced underwriting professional to price quotes and analyze group contracts based on claims experience and employee group characteristics.

Responsibilities include maintaining profitability, renewing accounts, and advising on pricing within policy guidelines. Requires strong math skills, collaboration with internal teams, and adherence to HIPAA/privacy standards.