Senior Renewal Underwriter

ParetoHealth; Philadelphia (Philadelphia County); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is on the lookout for a Senior Renewal Underwriter to enhance their team. This pivotal role involves assessing and managing risks associated with self-funded health plans through innovative stoploss strategies. The ideal candidate will leverage their expertise in data analysis and underwriting to deliver cost-effective healthcare solutions. Join a collaborative environment that values excellence and proactive thinking, where your contributions will directly impact the well-being of employees across various organizations. If you are passionate about transforming employee health benefits, this opportunity is for you.

Benefits

100% employer-paid Medical

Dental

Vision

Short-term/Long-term Disability

401(k) contribution

Qualifications

• 4+ years of experience in stoploss underwriting with complex health risks.
• Bachelor's degree in finance or related field is required.

Responsibilities

• Conduct risk assessments and determine stoploss coverage levels.
• Analyze healthcare data to forecast potential risks and costs.
• Provide guidance and training to junior underwriters.

Skills

Data Analysis

Underwriting

Communication Skills

Negotiation Skills

Problem Solving

Collaboration

Education

Bachelor’s degree in finance, economics, or actuarial science

Tools

Underwriting Software

Data Analysis Tools

Microsoft Office Suite

Job description

Philadelphia, Pennsylvania, United States

We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits.

The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions.

But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come.

Position Summary:

Pareto Health is seeking a seasoned and detail-oriented Senior Renewal Underwriter to join our team. This role is pivotal in assessing and managing the risks associated with self-funded health plans, using stoploss insurance. The ideal candidate will bring expertise in analyzing complex health risks and crafting stoploss strategies that align with our commitment to providing innovative and cost-effective healthcare solutions to our clients.

Key Responsibilities:

1. Conduct thorough risk assessments of current Pareto Self-funded health plans and determine appropriate stoploss coverage levels and premiums.
2. Analyze healthcare data, including claims and utilization patterns, to forecast potential risks, cost implications, and appropriate support.
3. Perform medical underwriting review of individual large claimants based upon self-funded reporting both with and without supporting nurse review resources.
4. Effectively execute in an environment of incomplete information.
5. Understand competitive market dynamics and react appropriately.
6. Partner with account management to ensure appropriate pricing rationale is understood and messaged externally, while considering consultant/customer dynamics.
7. Provide guidance and training to junior underwriters and other team members, enhancing the overall expertise of the department.
8. Enhance your own skills around knowledge of medical treatments and projected costs in partnership with the clinical risk team.
9. Ensure adherence to industry standards and legal requirements in all underwriting decisions and practices.

Qualifications:

1. Bachelor’s degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
2. Minimum of 4 years of experience in stoploss underwriting, with a proven history in handling complex health risks.
3. Proficiency in underwriting software, data analysis tools, and Microsoft Office Suite.
4. Exceptional ability to analyze data, identify trends, and solve underwriting challenges.
5. Excellent communication and negotiation skills, with the ability to articulate technical concepts to a non-technical audience.
6. Strong collaborator, capable of working effectively in a dynamic and collaborative environment.
7. Strong understanding of stoploss products/self-funding, healthcare industry trends, and regulatory landscape.

Pareto Perks:

Pareto offers a competitive compensation package commensurate with skills and experience. In addition, Pareto offers a robust benefits package including Medical (100% employer paid), Dental, Vision, STD/LTD, and employer 401(k) contribution.

What We Live By:

1. Get it Done and Get it Done Right – We crank out work at higher rates and at a higher quality than our peers in the industry. Our ability to do a lot with a little is a driving force behind Pareto Health, one that's made our brand synonymous with class, quality, and extreme competence.
2. Fire in the Belly - We only make time for champions; we only consider those with an inner desire to excel and push things forward. Our team, our partners, our members–everyone in the Pareto Health universe–works hard, learns constantly, improves furiously, and does so with a fire in the belly.
3. See the Field - As you're stuck thinking about tomorrow, we're already on to thinking about next year. Pareto Health embodies a culture of anticipation, perception, and acting with intent. In one-on-ones, in meetings, at a company level, and at an industry level, we're always two steps ahead.
4. For the Greater Good - Our vision extends past the here and now. We're rowing in the same direction toward the common goal of transforming an industry. It's our accountability, teamwork, and responsibility that ensure as we're changing industry tides, we're helping them rise. Now watch as we lift all boats in the process.

Disclosures:

ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.