Underwriter - Renewals at ParetoHealth

Philadelphia, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Apr, 26

Salary

0.0

Posted On

23 Jan, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Risk Assessment, Data Analysis, Healthcare Data, Medical Underwriting, Communication Skills, Negotiation Skills, Collaboration, Stoploss Products, Self-funding, Healthcare Industry Trends, Regulatory Landscape

Industry

Insurance

Description

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. 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 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. 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 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 We are guided by our values: Fire in the belly The drive to learn, to improve, and to deliver outstanding value every day. See the field The ability to see the big picture and prepare to meet tomorrow’s needs. Get it done right The passion to produce at higher rates and to the highest standards. For the greater good A united community creating better health benefit solutions for all. Please note that any communication from our recruiters and hiring managers at ParetoHealth about a job opportunity will only be made by a ParetoHealth employee with an @paretohealth.com address. ParetoHealth does not conduct text message or chat-based interviews. Any other email addresses, agencies, or forums may be phishing scams designed to obtain your personal information. We will not ask you to provide personal or financial information, including, but not limited to, your social security number, online account passwords, credit card numbers, passport information, and other related banking information until we begin onboarding activities, which will be coordinated by a member of the ParetoHealth People Ops Team with an @paretohealth.com email address. Disclosures: ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients. California Applicants: See Pareto’s CCPA Notice of Collection for California Employees and Applicants for information about how Pareto Captive Services, LLC, Pareto Health, LLC, and Pareto Underwriting Partners, LLC, together with their respective subsidiaries (collectively, “Pareto”) collects and uses personal information submitted by employment applicants.

Responsibilities

The Renewal Underwriter will conduct thorough risk assessments of self-funded health plans and determine appropriate stoploss coverage levels. They will analyze healthcare data to forecast potential risks and collaborate with account management to ensure pricing rationale is effectively communicated.