Senior Medical Underwriter - Group & Self-Funded Plans

Highmark Health; Hawaii; On-site; USD 79,000 - 127,000; Full time

Job summary

HM Insurance Group seeks an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. You will assess risk, apply underwriting policies, and prepare reports for profitability and growth, supporting internal teams and clients.

Responsibilities include renewals and new business, rate calculations, identifying risk patterns, and advising on pricing strategies.

Qualifications

• Bachelor's degree in a quantitative discipline or substitutions with significant experience
• 5–7 years underwriting experience in self-funded or converting plans
• Strong analytical, numerical, and communication skills

Responsibilities

• Renewals and new business pricing at profitable levels
• Calculate rates and apply pricing policies
• Identify risk patterns and advise on pricing adaptations
• Advise on pricing within policy guidelines for client-specific situations
• Support internal initiatives like fraud detection and compliance
• Collaborate with internal departments to manage risk

Skills

Stakeholder interaction

Interdepartmental collaboration

Analytical thinking

Negotiation skills

Problem solving

Mathematical aptitude

Education

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

Substitutions: 6 years relevant experience

Tools

Company data systems

Job description

HM Insurance Group seeks an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. You will assess risk, apply underwriting policies, and prepare reports for profitability and growth, supporting internal teams and clients.

Responsibilities include renewals and new business, rate calculations, identifying risk patterns, and advising on pricing strategies.