Senior Medical Underwriter, Group & Self-Funded Plans

Highmark Health; Central City (NE); On-site; USD 79,000 - 127,000; Full time

Job summary

Highmark Health seeks a seasoned Underwriter for HM Insurance Group to price quotes and analyze group contracts based on claims experience, employee group characteristics, and market data. You will use underwriting discretion within policies to ensure profitability and growth, identifying quotes that fit HMIG strategy and risk structure.

Responsibilities include renewals, new business, rate calculations, and risk assessment across self-funded and fully insured conversions, with attention to

Qualifications

• Bachelor's degree in quantitative analysis discipline or related field.
• 5–7 years' underwriting experience in self-funded and converting to self-funding.
• Ability to interact with internal and external stakeholders and work independently.

Responsibilities

• Renew accounts and write new business at profitable levels.
• Calculate rates and apply pricing policy.
• Identify questionable claim patterns and advise on pricing adjustments.
• Apply corporate risk management policies to pricing.
• Explain pricing recommendations to clients and brokers.

Skills

Stakeholder mgmt

Analytical thinking

Problem solving

Computer systems proficiency

Negotiation

Math aptitude

Education

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

~6 years relevant experience in underwriting

Job description

Highmark Health seeks a seasoned Underwriter for HM Insurance Group to price quotes and analyze group contracts based on claims experience, employee group characteristics, and market data. You will use underwriting discretion within policies to ensure profitability and growth, identifying quotes that fit HMIG strategy and risk structure.

Responsibilities include renewals, new business, rate calculations, and risk assessment across self-funded and fully insured conversions, with attention to