Senior Stop-Loss Underwriter - Group Health Risk & Pricing

Highmark Health; Salem (OR); On-site; USD 79,000 - 127,000; Full time

Job summary

HM Insurance Group, based in the United States, seeks an experienced underwriter to price quotes and analyze contract structures for group plans. The role involves risk assessment, pricing accuracy, and ensuring profitable growth under HMIG policies.

You will prepare reports and provide guidance across departments, brokers, and clients. The position emphasizes underwriting of self-funded and converting plans, with collaboration across internal teams and adherence to privacy policies.

Qualifications

• Bachelor's degree required in a quantitative field; substitutions: 6 years relevant, progressive experience.
• 5-7 years' underwriting experience in self-funded or converting prospects to self-funding.

Responsibilities

• Manage a book of renewing accounts and profitable new business to achieve targets.
• Calculate rates and interpret pricing policy; adapt to unusual situations.
• Identify questionable claim patterns and provide recommendations for renewal prospects.
• Apply corporate risk management policies and adjust pricing for special cases.
• Identify non-compliance with policies and enrollment criteria; advise price adaptations.
• Support internal initiatives including fraud detection, compliance, wellness, and product development.

Skills

Stakeholder liaison

Tech proficiency

Independent worker

Policy alignment

Privacy compliance

Problem-solving

Math aptitude

Education

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

6 years relevant experience

Job description

HM Insurance Group, based in the United States, seeks an experienced underwriter to price quotes and analyze contract structures for group plans. The role involves risk assessment, pricing accuracy, and ensuring profitable growth under HMIG policies.

You will prepare reports and provide guidance across departments, brokers, and clients. The position emphasizes underwriting of self-funded and converting plans, with collaboration across internal teams and adherence to privacy policies.