Senior Medical Stop-Loss Underwriter & Pricing Strategist

Highmark Health; Topeka (KS); Sur place; USD 79 000 - 127 000; Plein temps

Résumé du poste

HM Insurance Group prices quotes and analyzes the structure of contracts for group plans based on claims experience and employee-group characteristics. The underwriter uses authority within HMIG to ensure profitability and growth while identifying quotes that fit the risk framework.

The role involves assessing risk factors for new enrollments and renewals, preparing reports, and guiding pricing for brokers and clients, with strong emphasis on data analysis and policy adherence.

Qualifications

• Bachelor's degree in a quantitative field is required.
• 5–7 years underwriting experience in self-funded and converting to self-funding.
• Proficiency with pricing and risk analysis processes.

Responsabilités

• Renew book of business and write new business at profitable levels.
• Calculate rates and interpret pricing policies.
• Identify questionable claim patterns and make recommendations.
• Apply risk management policies to pricing scenarios.
• Identify non-compliant clients and adapt pricing accordingly.
• Collaborate with internal teams to manage member risk.
• Support fraud detection, compliance, wellness, and product development efforts.
• Complete renewals and review lower-level analyst work.
• Adapt to changing quotes and priorities.

Connaissances

Stakeholder management

Computer systems

Independent project work

Goals alignment

Privacy & confidentiality

Problem solving

Strong math aptitude

Formation

Bachelor's degree in Mathematics/Actuarial Science/Finance/Business/CS

6 years relevant underwriting experience

Description du poste

HM Insurance Group prices quotes and analyzes the structure of contracts for group plans based on claims experience and employee-group characteristics. The underwriter uses authority within HMIG to ensure profitability and growth while identifying quotes that fit the risk framework.

The role involves assessing risk factors for new enrollments and renewals, preparing reports, and guiding pricing for brokers and clients, with strong emphasis on data analysis and policy adherence.