Clinical Stop Loss Medical Underwriter


Fitchburg, MA

5 - 7 years

Posted 206 days ago

  by    Mason Ingling

This job is no longer available.

Seeking underwriter with medical knowledge to evaluate medical information to assign underwriting decision and develop appropriate rates.


*** Ensure high risk members are referred to appropriate clinical programs.


*** Propose new business rates for complex cases, ensuring rating compliance and utilizing medical applications, additional medical information, and manual rates.


*** Calculate appropriate group and individual premium rates for new and renewal business in accordance with Corporate Underwriting Guidelines and federal and state statutes.


*** Calculate renewal rates for complex cases by analyzing medical experience, location, demographic nature, etc.


*** Monitor and review rating compliance reporting with actuaries for assigned business.


*** Ensure timely, accurate and consistent review of large claim reports, applying underwriting guidelines.


*** Interact with brokers and sales, administration and actuarial areas.


Grow with a company offering an industry competitive compensation package, full medical, dental, and vision benefits, 401(k) retirement plans, excellent professional development opportunities, flexible paid time off, and more!


Please reference #37500374 when responding.Education Requirements: Bachelor DegreeMinimum Experience Requirements: 5-10 yearsJob City Location: FitchburgJob State Location: MAJob Country Location: USA

$100K - $150K