Stop Loss Underwriter II (REQUIRED: MEDICAL STOP LOSS INSURANCE EXPERIENCE)

MedImpact Healthcare Systems, Inc.; San Diego (CA); Remote; USD 101,000; Full time

Job summary

An established industry player is looking for a Stop Loss Underwriter II to manage risks related to medical stop loss insurance. This role involves evaluating applications, analyzing claims data, and collaborating with clients to negotiate terms. The ideal candidate will bring strong analytical skills and a solid understanding of medical insurance. Join a team that values high performance and teamwork, and contribute to innovative solutions that enhance healthcare value. This is a fantastic opportunity for someone eager to make a difference in the healthcare sector while enjoying a remote work environment.

Benefits

Health benefits

Paid Time Off

Incentives

401K

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonuses

Qualifications

• 3+ years’ experience in underwriting or stop loss in healthcare.
• Bachelor's degree in relevant field is required.

Responsibilities

• Evaluate and underwrite medical stop loss insurance applications.
• Analyze large claims data to identify trends and support decisions.

Skills

Knowledge of Artificial Analytics tools

Microsoft Office

Outlook

Understanding of medical insurance terminology

Strong analytical skills

Education

Bachelor's degree in business, finance, mathematics, actuarial science, or related

Advanced degrees or certifications

Tools

Artificial Analytics tools (Gradient, Verikai, etc.)

Job description

Stop Loss Underwriter II (REQUIRED: MEDICAL STOP LOSS INSURANCE EXPERIENCE)

Join to apply for the Stop Loss Underwriter II (REQUIRED: MEDICAL STOP LOSS INSURANCE EXPERIENCE) role at MedImpact Healthcare Systems, Inc.

Job Details

Exemption Status: United States of America (Non-Exempt)

Salary Range: $60,980 - $80,817 - $100,632

*Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.*

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. seeks exceptional individuals to join our team! Our success depends on talented professionals who thrive on opportunity, high performance, and teamwork. We value individuals eager to make a difference in healthcare value.

About Us

At MedImpact, we deliver innovative pharmaceutical and technology solutions that improve healthcare value. We aim to provide superior outcomes through transparency, choice, and industry-leading solutions in pharmacy benefits management.

Job Description

Summary: The Stop Loss Underwriter II plays a vital role in assessing and managing risks related to medical stop loss insurance policies.

Essential Duties and Responsibilities

• Evaluate and underwrite medical stop loss insurance applications, considering claims history, medical conditions, demographics, and policy provisions.
• Use actuarial tools, statistical models, and industry benchmarks to assess risk exposure and determine premiums and coverage limits.
• Review policy documents, endorsements, and ensure compliance with guidelines, regulations, and standards.
• Analyze large claims data to identify trends and emerging risks, supporting underwriting decisions and pricing.
• Collaborate with brokers, agents, and clients to gather information, clarify requirements, and negotiate coverage terms.
• Monitor portfolio performance, analyze KPIs, and recommend strategy adjustments.
• Develop and update underwriting guidelines based on market and industry changes.
• Implement risk mitigation strategies like reinsurance and risk-sharing to protect financial interests and minimize catastrophic losses, ensuring compliance with all laws and standards.

Additional Information

Supervisory Responsibilities: None

Client Responsibilities: Provide excellent customer service, manage difficult client situations, respond promptly to needs, solicit feedback, and meet commitments.

Qualifications

• Bachelor's degree in business, finance, mathematics, actuarial science, or related; advanced degrees or certifications are a plus.
• Minimum 3+ years’ experience in underwriting or stop loss in healthcare or equivalent.

Skills

• Knowledge of Artificial Analytics tools (Gradient, Verikai, etc.), Microsoft Office, and Outlook.
• Understanding of medical insurance terminology, concepts, and regulations.
• Strong analytical skills for large data interpretation and trend identification.

Core Competencies

• Adaptability, Communication, Initiative, Interpersonal Effectiveness, Planning, Reliability, Quality Focus.

Work Environment & Conditions

Remote work; moderate noise level; ability to work overtime, nights, weekends, or holidays as needed; no travel required but attendance at local conferences may be necessary.

Perks

• Health benefits, Paid Time Off, Incentives, 401K, Life and Disability Insurance, Tuition Reimbursement, Employee Referral Bonuses.

Apply at www.medimpact.com/careers

Additional Details

Level: Mid-Senior; Employment: Full-time; Industry: Healthcare; Location: Remote