Underwriter II

Trustmark•Lake Forest, IL
•$62,947 - $90,924

About The Position

The Underwriter II supports 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. The role applies established risk criteria, underwriting guidelines, and pricing methodologies to produce sound, consistent, well-documented, and profitable decisions. It collaborates with underwriting, sales, and operations partners to align on case strategy, data quality, and process execution, and communicates and supports underwriting decisions and risk assessments with clear rationale and analysis for the sales field and client discussions. The position also maintains complete and accurate documentation that meets quality, audit, and compliance standards; stays familiar with underwriting tools, medical cost drivers, and internal resources; and builds proficiency through ongoing learning, feedback, and the application of best practices. The listed annual compensation range is $62,947.30–$90,923.65, based on the corporate location in Lake Forest, Illinois. The position may also be eligible for a bonus.

Requirements

  • Bachelor’s degree and/or 2–4 years of related experience, or a high school diploma or GED with 4–6 years of related experience.
  • Working knowledge of medical underwriting principles, or 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, including 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.

Responsibilities

  • 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 make sound, consistent, and profitable decisions.
  • Partner with underwriting, sales, and operations teams to support accurate data, case strategy alignment, and timely execution.
  • Communicate and support underwriting decisions with clear rationale to facilitate internal alignment and effective field engagement.
  • Prepare and maintain complete, accurate documentation of underwriting analysis, assumptions, and decisions.
  • Ensure underwriting files meet quality, audit, and compliance standards.
  • Maintain familiarity with underwriting tools, medical cost drivers, and internal resources to support accurate risk assessment and pricing.
  • Develop underwriting proficiency through ongoing learning, feedback, and application of best practices.
  • Seek opportunities to improve understanding of products, processes, and risk evaluation.

Benefits

  • Health, dental, and vision coverage
  • Life insurance
  • Flexible spending account (FSA) and health savings account (HSA)
  • 401(k) plan
  • Employee Assistance Program
  • Back-up care for children, adults, and elders
  • Health and wellness initiatives
  • Wellness program that enables employees to participate in health initiatives to reduce insurance premiums
  • The position may be eligible for a bonus
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