Senior Medical Underwriter – Group & Self-Funded Plans

Highmark Health

Arkansas

On-site

USD 79,000 - 127,000

Full time

8 days ago

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Job summary

HM Insurance Group is seeking an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee characteristics. The role requires applying underwriting policies to ensure profitability and growth, while identifying quotes that do not fit HMIG strategy.

The incumbent will analyze risk factors for new enrollments and renewals and prepare reports with rationale for pricing decisions.

Qualifications

Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other quantitative analysis discipline.
Substitutions: ~6 years relevant, progressive experience in the area of specialization.

Responsibilities

Renew accounts and write new business at profitable levels.
Calculate rates, interpret pricing policy and adapt to unusual situations.
Identify questionable claim patterns of renewal clients and issues with competitor’s claims experience for prospect clients and develop recommendations.
Apply corporate risk management policies and adjust for unusual situations that may not have been considered in the standard pricing formula.
Identify when clients do not comply with corporate risk management policies and enrollment criteria.
Adapt pricing to client-specific situations and communicate recommendations with clear rationale.