Senior Medical Underwriter - Group & Self-Funded Plans

Highmark Health; Atlanta (GA); On-site; USD 79,000 - 127,000; Full time

Job summary

HM Insurance Group in the United States is seeking an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. The role ensures profitability and growth by applying underwriting policies and risk strategies.

The ideal candidate has 5–7 years of underwriting experience with self-funded plans, strong math aptitude, and the ability to coordinate with internal teams while maintaining privacy and compliance standards.

Qualifications

• Bachelor\'s degree in mathematics, actuarial science, finance, business, CS, or other quantitative field.
• 6 years of relevant, progressive underwriting experience.
• 5–7 years of underwriting experience with self-funded and converting prospects to self-funding.
• Understanding of LOma/CEBS/AHIP preferred licensure would be a plus.

Responsibilities

• Renewals and new business pricing to meet profitability targets.
• Use systems and tools to obtain data and complete work accurately.
• Identify questionable claim patterns and adjust pricing recommendations.
• Apply risk management policies and adapt pricing to client needs.
• Support internal initiatives like compliance, fraud detection, and product development.

Skills

Stakeholder collaboration

Data systems

Independent work

Corporate goals

Privacy compliance

Math aptitude

Negotiation skills

Education

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

Job description

HM Insurance Group in the United States is seeking an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. The role ensures profitability and growth by applying underwriting policies and risk strategies.

The ideal candidate has 5–7 years of underwriting experience with self-funded plans, strong math aptitude, and the ability to coordinate with internal teams while maintaining privacy and compliance standards.