Underwriter - Renewals

ParetoHealth•Philadelphia, PA

7d•Hybrid

About The Position

We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits. The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions. But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come. Please note that ParetoHealth does not provide employment visa sponsorship for this position. Candidates must be authorized to work in the United States without sponsorship both now or in the future. Position Summary Pareto Health is seeking an experienced and detail-oriented Renewal 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.

Requirements

Bachelor’s degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
Proficiency with 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

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
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.