Position SummaryPareto Health is seeking a seasoned and detail-oriented Senior Underwriter to join our team. This role is pivotal in assessing and managing the risks associated with self-funded health plans, using stoploss insurance. The ideal candidate will bring expertise in analyzing complex health risks and crafting stoploss strategies that align with our commitment to providing innovative and cost-effective healthcare solutions to our clients.
Key Responsibilities:- Conduct thorough risk assessments of current Pareto Self-funded health plans and determine appropriate stoploss coverage levels and premiums.
- Analyze healthcare data, including claims and utilization patterns, to forecast potential risks, cost implications, and appropriate support
- Perform medical underwriting review of individual large claimants based upon self-funded reporting both with and without supporting nurse review resources
- Effectively execute in an environment of incomplete information
- Understand competitive market dynamics and react appropriately
- Partner with account management to ensure appropriate pricing rationale is understood and messaged externally, while considering consultant / customer dynamics
- Provide guidance and training to junior underwriters and other team members, enhancing the overall expertise of the department.
- Enhance your own skills around knowledge of medical treatments and projected costs in partnership with the clinical risk team
- Ensure adherence to industry standards and legal requirements in all underwriting decisions and practices.
Qualifications:- Bachelor's degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
- Minimum of 5-7 years of experience in stoploss underwriting, with a proven history in handling complex health risks.
- Proficiency in underwriting software, data analysis tools, and Microsoft Office Suite.
- Exceptional ability to analyze data, identify trends, and solve underwriting challenges.
- Excellent communication and negotiation skills, with the ability to articulate technical concepts to a non-technical audience.
- Strong collaborator, capable of working effectively in a dynamic and collaborative environment
- Strong understanding of stoploss products/self-funding, healthcare industry trends, and regulatory landscape
Perks & Benefits:- Fully paid medical, dental, and vision benefits.
- Flexible PTO
- 401k company contribution
- Tuition reimbursement
- Professional development allowance
- Transportation allowance and daily parking reimbursement
- Engaging hybrid work environment
