Senior Renewal Underwriter Philadelphia, Pennsylvania, United States

Pareto Health Inc.; Philadelphia (Philadelphia County); On-site; USD 80,000 - 110,000; Full time

Job summary

A leading company in healthcare solutions is seeking a Senior Renewal Underwriter to assess risks and manage self-funded health plans. The ideal candidate will bring a strong background in underwriting and data analysis, contributing to the innovative approach ParetoHealth takes in transforming employee health benefits. Join a dynamic team focused on delivering effective and affordable healthcare solutions while mentoring junior staff to enhance department expertise.

Qualifications

• Minimum 4 years of experience in stoploss underwriting.
• Exceptional ability to analyze data and identify trends.
• Strong understanding of stoploss products and healthcare industry trends.

Responsibilities

• Conduct risk assessments and determine stoploss coverage levels.
• Analyze healthcare data to forecast potential risks.
• Guide junior underwriters and ensure adherence to industry standards.

Skills

Data analysis

Communication

Negotiation

Risk assessment

Education

Bachelor's degree in finance, economics, actuarial science, or related field

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:

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

Qualifications:

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

We are guided by our values:

Fire in the belly

The drive to learn, to improve, and to deliver outstanding value everyday.

See the field

The ability to see the big picture and prepare to meet tomorrow’sneeds.

Get it done right

The passion to produce at higher rates and to the higheststandards.

For the greater good

A united community creating better health benefit solutions forall.

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.

Interested in building your career at ParetoHealth? Get future opportunities sent straight to your email.

Apply for this job

indicates a required field

First Name *

Last Name *

Email *

Phone *

Resume/CV *

Enter manually

Accepted file types: pdf, doc, docx, txt, rtf

Enter manually

Accepted file types: pdf, doc, docx, txt, rtf

LinkedIn Profile

Are you legally authorized to work in the United States? * Select...

Will you now or in the future require sponsorship to work in the United States? * Select...

Do you attest to the following statement?Pareto Captive Services (Pareto") is an equal opportunity employer. Pareto does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, gender, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Pareto to hire me. If I am hired, I understand that either Pareto or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Pareto has the authority to make any assurance to the contrary.I attest with my signature below that I have given to Pareto true and complete information on this application. No requested information has been concealed. I authorize Pareto to contact references provided for employment reference checks with prior notice to me. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Electronic acknowledgement required. * Select...

Are you open to a hybrid model (2-3x per week)out of our Center City, Philadelphia office or open to occasional travel into Philly if you are outside the area? * Select...

Do you have at least 4 years of medical underwriting experience? * Select...

Have you ever underwritten a self funding or stop loss underwriting product? * Select...

Have you had to use underwriter judgement in pricing premiums with regards to high cost claimants of concern either through suggesting lasers, raising or adjusting premiums, exclusions, or DTQing cases? * Select...

Do you have experience identifying and completing detailed medical reviews? * Select...

U.S. Standard Demographic Questions

We invite applicants to share their demographic background. If you choose to complete this survey, your responses may be used to identify areas of improvement in our hiring process.

How would you describe your gender identity? (mark all that apply) Select...

How would you describe your racial/ethnic background? (mark all that apply) Select...

How would you describe your sexual orientation? (mark all that apply) Select...

Do you identify as transgender? Select...

Do you have a disability or chronic condition (physical, visual, auditory, cognitive, mental, emotional, or other) that substantially limits one or more of your major life activities, including mobility, communication (seeing, hearing, speaking), and learning? Select...

Are you a veteran or active member of the United States Armed Forces? Select...