Underwriter II

Trustmark; Chicago (IL); On-site; USD 62,947 - 90,923; Full time

Job summary

Trustmark in Lake Forest, IL, is seeking an underwriting professional to support medical product risk assessment, review applications and claims experience, and determine premium levels for new and renewing clients. You will apply underwriting guidelines, work with sales and operations, and defend decisions with clear rationale and analysis.

Strong analytical skills, attention to detail, and Excel proficiency are required.

Qualifications

• Bachelor’s degree or equivalent work experience.
• Knowledge of medical underwriting principles or ability to learn quickly.
• Ability to apply guidelines to make consistent underwriting decisions.
• Strong analytical and problem-solving skills.
• Effective time management in a fast-paced environment.
• Clear written and verbal communication.
• Proficiency in Excel and underwriting systems.

Responsibilities

• Underwriting analysis and pricing execution for new business and renewals.
• Collaborate with underwriting, sales, and operations to ensure data quality and alignment.
• Prepare and maintain complete underwriting documentation and file quality.
• Maintain familiarity with underwriting tools and cost drivers.
• Develop and continuously improve underwriting practices.

Skills

Analytical skills

Attention to detail

Time management

Communication skills

Problem solving

Education

Bachelor’s Degree

High School Diploma or GED with related experience

Tools

Microsoft Excel

Underwriting systems/tools

Job description

Trustmark’s mission is to improve wellbeing – for everyone. It is a mission grounded in a belief in equality and born from our caring culture. It is a culture we can only realize by building trust. Trust established by ensuring associates feel respected, valued and heard. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture of diversity and inclusion where appreciation, mutual respect and trust are constants, not just for our customers but for ourselves. At Trustmark, we have a commitment to welcoming people, no matter their background, identity or experience, to a workplace where they feel safe being their whole, authentic selves. A workplace made up of diverse, empowered individuals that allows ideas to thrive and enables us to bring the best to our colleagues, clients and communities.

About The Role

Responsible for supporting the underwriting of level funded medical products by reviewing medical applications and questionnaires, claims experience, and related data to evaluate risk and determine appropriate premium rates for new and existing clients. Applies established risk criteria and underwriting guidelines to produce sound, well-documented underwriting decisions. Collaborates closely with underwriting, sales, and operations partners to ensure alignment on case strategy, data quality, and process execution. Communicates and defends underwriting decisions and risk assessments with the sales field, providing clear rationale and supporting analysis to facilitate understanding and client discussions.

Key Accountabilities

• Underwriting Analysis & Pricing Execution – Review applications, claims experience, and supporting data to evaluate risk and determine appropriate premium rates for new business and renewals. Apply established underwriting guidelines and pricing methodologies to produce sound, consistent, and profitable decisions.
• Case Collaboration & Decision Support – Partner with underwriting, sales, and operations teams to ensure accurate data, alignment on case strategy, and timely execution. Communicate and support underwriting decisions with clear rationale to facilitate internal alignment and effective field engagement.
• Documentation & File Quality – Prepare and maintain complete, accurate documentation of underwriting analysis, assumptions, and decisions. Ensure files meet quality, audit, and compliance standards.
• Tools, Data & Market Awareness – Maintain familiarity with underwriting tools, medical cost drivers, and internal resources to support accurate risk assessment and pricing.
• Development & Continuous Improvement – Build underwriting proficiency through ongoing learning, feedback, and application of best practices. Seek opportunities to improve understanding of products, processes, and risk evaluation.

Minimum Requirements

• Bachelor’s Degree and/or 2–4 years of related experience OR High School Diploma or GED with 4–6 years of related experience.
• Working knowledge of medical underwriting principles, or the ability to quickly develop proficiency through training and practical application.
• Ability to apply established guidelines to make sound, consistent underwriting decisions.
• Strong analytical and problem‑solving skills with attention to detail.
• Effective time management and organizational skills, with the ability to manage multiple priorities in a fast‑paced environment.
• Clear written and verbal communication skills, including the ability to explain underwriting decisions and rationale.
• Proficiency in Microsoft Excel and other underwriting systems/tools.

Compensation

The compensation range for this role is based on the corporate location in Lake Forest, Illinois: $62,947.30 – $90,923.65 per year. The final salary offer will be determined based on factors such as location, qualifications, experience, skill set, and other relevant factors. This position may also be eligible for bonus.

Benefits

In addition to compensation, we offer a comprehensive benefits package that includes health/dental/vision, life insurance, FSA and HSA, 401(k) plan, Employee Assistant Program, Back‑up Care for Children, Adults and Elders, and many health and wellness initiatives. We also offer a Wellness program that enables employees to participate in health initiatives to reduce their insurance premiums.

Equal Opportunity Employer

Trustmark is committed to leveraging the talent of a diverse workforce to create great opportunities for our people and our business. We are an equal opportunity employer, including disability and protected veteran status.