Senior Underwriter

Corewell Health • Grand Rapids, MI

20h • Onsite

About The Position

The Senior Underwriter supports Priority Health’s Large Group Commercial business by assessing risk, analyzing data, and developing competitive, financially responsible premium rates. The role evaluates current and prospective group accounts, coordinates proposal and renewal processes for self-funded and insured requests, and works with Sales, Underwriting, insurance carriers, brokers, consultants, and employer groups to support sound decisions that meet customer needs and business objectives. The position also helps ensure compliance with approved underwriting guidelines and regulatory standards.

Requirements

• Bachelor's degree or equivalent.
• Five years of underwriting experience, typically gained through skills, knowledge, and abilities in a related field.

Nice To Haves

• Healthcare experience.
• Provider-based carrier experience.

Responsibilities

• Analyze employer risk profiles and develop rates for fully insured prospective and renewal accounts within approved community rating guidelines.
• Periodically audit cases rated by the marketing department for compliance with approved underwriting guidelines.
• Maintain renewal and prospective account files to support accurate premium rate development.
• Calculate and recommend final fully insured renewal and proposal rates requested by Sales.
• Work with Sales to establish competitive and financially responsible rate levels.
• Calculate suggested COBRA premium rates for new and renewing groups.
• Run P&L and in-network/out-of-network reports and investigate high-claim issues for group customers.
• Collaborate with Underwriting and Sales staff on decisions and resolve customer pricing issues.
• Participate in proposal and renewal presentations with the Sales Department and provide technical assistance in communicating administrative fees, premium rates, and financial exhibits.
• Coordinate self-funded proposal and renewal requests with insurance carriers in a timely manner.
• Analyze stop-loss proposals and prepare financial exhibits explaining benefit options, cost savings, and projected fixed and claim costs.
• Implement administrative fees for new and renewal proposals to support competitive positioning and meet PHMB revenue guidelines.
• Maintain consultative relationships with brokers, agents, consultants, and employer groups as needed.
• Provide required paperwork for ASO sold cases, including the Underwriting Disclosure and stop-loss verification form.
• Calculate ASO binder check amounts.

Benefits

• Comprehensive benefits package.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on restaurants, phone plans, spas, and more.
• Optional identity theft protection, home and auto insurance.
• Traditional and Roth retirement options with service contribution and matching savings.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior