Senior Medical Underwriter - Group & Self-Funded Plans

Highmark Health

Nashville (TN)

On-site

USD 79,000 - 127,000

Full time

7 days ago

Be an early applicant

A complete application in a minute

Tailored resume and cover letter, ready to send.

Get past ATS filters

Job summary

HM Insurance Group is seeking an experienced underwriter to price quotes and analyze group contracts based on claims experience and employee group characteristics. The role operates within HMIG's risk framework to ensure profitability and growth, while identifying quotes that align with strategy and risk structure.

The incumbent supports internal teams and external partners with underwriting results and pricing rationale.

Qualifications

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

Responsibilities

Renew accounts and write new business at profitable levels to help HMIG achieve targets.
Utilize systems to obtain data and accurately complete assigned work.
Calculate rates, apply pricing policies and adapt to unusual situations.
Identify questionable claim patterns and adjust pricing for prospect clients.
Apply corporate risk management policies and adjust for unusual situations.
Support fraud detection, compliance, wellness/disease management, and product development efforts.
Complete renewals, prospect quotes, and review lower level analyst work for timeliness.
Communicate pricing recommendations with clear rationale to stakeholders.
Collaborate with brokers and TPA partners as needed.