Senior Underwriter

Join Priority Health as a Senior Underwriter and play a key role in shaping the financial success of our Large Group Commercial business. In this role, you'll apply your expertise in healthcare underwriting to assess risk, analyze data, and develop competitive pricing strategies that align with business objectives. You will collaborate with internal teams and external partners to ensure sound underwriting decisions while maintaining compliance with regulatory standards. If you have a strong background in health insurance underwriting and a passion for driving financial sustainability in the healthcare industry, we invite you to be part of our growing team!

Assess and calculate the financial responsible and marketable premium rates for current and prospective group accounts. Understand and work towards departmental objectives. Coordinate the proposal process for self-funded and insured requests. Assure that fully insured rates are calculated correctly and that customer needs are met.

• Accurately analyze employer’s risk profile and develop rates on fully-insured prospective and renewal accounts within our approved community rating guidelines. Audit on a periodic basis, the cases rated by the marketing department to assure their compliance with the company’s approved underwriting guidelines. Maintain on a consistent basis, renewal and prospective account files that assist the underwriters in the accurate development of premium rates.
• Calculate and recommend final fully-insured rates for renewals and proposals requested by Sales. Work with the Sales Department to arrive at a competitive and financially responsible rate level. Calculate suggested COBRA premium rates for new and renewing groups as requested.
• Run reports (P&Ls, In and out of Network reports) and investigate high claim issues for our group customers.
• Work with the Underwriting staff and Sales staff to develop decisions that reflect teamwork. Promote discussion and resolution of customer pricing issues. Maintain, on a consistent basis, renewal and prospective account files that assist underwriters in the accurate development of premium rates.
• Participate with Sales Dept.in proposal and renewal presentations. Provide necessary technical assistance and consultation in the communication of administrative fees, premium rates and financial exhibits.
• Coordinate self-funded proposal and renewal requests with insurance carriers in a timely fashion. Analyze stop loss proposals and prepare easily understood financial exhibits which highlight benefits options, cost savings and projected fixed and claim costs.
• Effectively implement the administrative fee of the new and renewal proposals to maintain a competitive market position and meet PHMB revenue guidelines.
• Maintain consultative relationships with brokers/agents, consultants and employer groups, as needed. Attend with the sales department, proposal and renewal client presentations. Provide necessary technical assistance in the communication of the administration fees, premium rates and financial exhibits.
• Provide essential paperwork for ASO sold case including Underwriting Disclosure and stop loss verification form. Calculate ASO binder check amount.

Required

• Bachelor's Degree or equivalent
• 5 years of experience in underwriting typically gained through skills/knowledge/abilities in related field

Preferred

• Healthcare Experience
• Provider based carrier experience

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