Senior Underwriter

Texicare Health Insurance Company; Austin (TX); Hybrid; USD 60,000 - 100,000; Full time

Job summary

An innovative health insurance firm is on the lookout for a Senior Underwriter to join their mission-driven team in Austin. This role involves evaluating risks and underwriting employer group plans, ensuring profitability while collaborating with sales and finance teams. The ideal candidate will possess strong analytical skills and a deep understanding of health insurance underwriting practices. With a commitment to transforming healthcare access, this position offers a unique opportunity to make a significant impact in the lives of Texans. If you're passionate about healthcare and ready to thrive in a dynamic environment, this role is for you.

Benefits

Automatic 4% employer contribution to retirement plan

401k plan with 100% match up to 6%

Flexible time off

Nine paid holidays

Day one health, Rx, vision, and dental insurance

Life and disability insurance

Flexible spending account

Pet coverage and pet Rx discounts

Free identity theft protection

Free 2nd medical opinion service

Qualifications

• 4+ years of Group underwriting experience in health insurance.
• In-depth experience in health risk assessment and underwriting practices.

Responsibilities

• Underwrite employer group plans including self-funding and stop-loss.
• Conduct high-quality risk assessments to meet business guidelines.

Skills

Risk Evaluation

Analytical Skills

Communication Skills

Problem-Solving Skills

Negotiation Skills

Organizational Skills

Team Collaboration

Mentoring Skills

Education

Bachelor's degree in related discipline

Tools

Predictive Risk Tools

Rating Engine Components

Job description

Founded in 2023 as a mission-driven health affiliate of Texas Mutual, Texicare was created by a group of seasoned healthcare professionals, and is headquartered in Austin, Texas.

Texicare is committed to changing the healthcare landscape by providing small businesses with innovative solutions that increase access to easy-to-use, more affordable, quality health care for Texans and their families. Texicare’s vision is to transform the healthcare ecosystem for the better, helping to create a healthier and happier Texas. Our healthcare plans were designed to be used, to remove barriers to care, to truly make a difference in people’s lives.

We’re looking for passionate, mission-driven individuals to join us in creating a healthier and happier Texas.

About the role

We are seeking an exceptional Senior Underwriter with experience working across the underwriting function of a health plan, including the Texas market. Specifically, you should have expertise and proven success in various risk assessment methodologies used in self-funding, level-funding, employer stop-loss, and medical underwriting. Relevant experience operating in the small group employer segment is key. Collaboration with other functions of the health plan and resiliency is critical in this role. You will interact directly and partner routinely with Sales, Actuarial, and Finance, as well as work in conjunction with third parties including: MGU, TPA, and Network partners. Leveraging Texicare’s mission, vision, and values to guide decision making, while balancing growth and profitability, is the balance that must be achieved for success in this role.

Reporting to the Sr. Director Underwriting of Texicare, the Senior Underwriter will use various risk assessment tools and market strategy to deliver key membership and financial results. You will also assist with creating and developing a best-in-class Underwriting organization from quote through enrollment through renewals.

Location: Austin, TX. Hybrid work from Austin HQ on occasion and remote. Travel within Texas and occasionally outside of Texas is required.

In this role, you will:

• Demonstrate strong risk evaluation, selection and retention of profitable business within assigned authority limits. This also requires a strong ability to partner with sales teams, brokers and all internal associates.
• Underwrite employer group plans including self-funding, level-funding, fully insured, employer stop-loss, and medical underwriting utilizing medical information, claims experience, group demographics, predictive risk tools, and external information.
• Support Sales and represent the department in internal meetings.
• Balance growth and profitability. Conduct high quality risk assessments on all cases to ensure business guidelines, target profit and metrics are met. Identify and analyze risk trends, making recommendations for addressing these.
• Train others in the underwriting department.
• Efficiently and effectively handle all contracts, amendments and paperwork on proposals and renewals.
• Calculate, analyze and provide accurate settlements on the variety of alternate funded accounts.
• Assist with developing the underwriting system to meet the needs of the department and our stakeholders.
• Assist in refining underwriting guidelines, documentation and processes to build a knowledge base across the underwriting organization.

To be successful in this role, you should have:

• In-depth experience in various health risk assessment and underwriting practices including use of predictive risk profiling tools.
• Experience using and understanding rating engine components and their interactions.
• An ability to thrive and pivot in a dynamic, fast-paced new growth environment.
• An ability to balance and synthesize multiple inputs to make informed rating decisions within authority guidelines, and recognition of when exceptions may be warranted.
• Bachelor's degree in related discipline or equivalent education and experience required.
• 4+ years of Group underwriting experience in health insurance with a deep ability to assess risk and engage in analytical issue resolution with customers.
• Fully developed knowledge of product provisions, plan designs, pricing and contractual benefits.
• Strong technical expertise in risk selection.
• Demonstrated understanding of top-line and bottom-line objectives.
• Exhibit strong knowledge of sales/distribution process and market trends.
• Demonstrated mentoring and coaching skills.
• Strong creative problem-solving skills.
• Strong critical thinking/analytical reasoning skills.
• Strong communication skills, both verbal and written.
• Strong organizational skills and ability to handle multiple priorities.
• Strong ability to be persuasive and to negotiate.
• Demonstrated ability to work both independently and in a team environment.
• Exhibit a strong commitment to quality and personal ownership of results.
• Valid Texas driver’s license or other available means of transportation.

Benefits:

• Automatic 4% employer contribution to retirement plan.
• 401k plan with 100% match up to 6%.
• Flexible time off for vacation, illness, etc.
• Nine paid holidays.
• Day one health, Rx, vision, and dental insurance.
• Life and disability insurance.
• Flexible spending account.
• Pet coverage and pet Rx discounts.
• Free identity theft protection.
• Free 2nd medical opinion service.

Texicare is an equal opportunity employer.