Senior Medical Stop Loss Underwriter
Core
Prices quotes and analyzes contract structures for group self-funded and fully insured plans based on claims experience and employee characteristics to ensure profitability and risk management.
Role type
Senior Medical Stop Loss Underwriter
Builds
Group insurance contracts and self-funded plan structures
Domain
Health Insurance / Risk Management
Required skills
Actuarial analysis, financial modeling, risk assessment, claims pattern identification, rate calculation, policy adaptation, stakeholder negotiation, data analysis, compliance monitoring, strategic planning
Preferred skills
Professional designations in healthcare (LOMA CEBS, AHIP)
Technologies
Pricing systems, financial tools, data analysis applications
Responsibilities
Calculate rates and adapt pricing policies for new and renewing accounts; identify questionable claim patterns and competitor issues; analyze member risk and engage internal departments; guide and assist lower-level analysts; influence sales teams on appropriate pricing and structure; maintain departmental tools and processes.
Seniority
Senior, hands-on IC