Senior Stop Loss Underwriter

Join Priority Health as a Senior Stop Loss Underwriter and play a key role in shaping the financial success of our Large Group Commercial business. In this role, you'll apply your expertise in healthcare underwriting to assess risk, analyze data, and develop competitive pricing strategies that align with business objectives. You will collaborate with internal teams and external partners to ensure sound underwriting decisions while maintaining compliance with regulatory standards. If you have a strong background in health insurance underwriting and a passion for driving financial sustainability in the healthcare industry, we invite you to be part of our growing team!

Job Summary

Assess and calculate the financial responsible and marketable premium rates for current and prospective group accounts. Understand and work towards departmental objectives. Coordinate the proposal process for self-funded and insured requests. Assure that fully insured rates are calculated correctly and that customer needs are met.

Essential Functions

• Accurately analyze employer’s risk profile and develop rates on fully-insured prospective and renewal accounts within our approved community rating guidelines. Audit on a periodic basis, the cases rated by the marketing department to assure their compliance with the company’s approved underwriting guidelines. Maintain on a consistent basis, renewal and prospective account files that assist the underwriters in the accurate development of premium rates.
• Calculate and recommend final fully-insured rates for renewals and proposals requested by Sales. Work with the Sales Department to arrive at a competitive and financially responsible rate level. Calculate suggested COBRA premium rates for new and renewing groups as requested.
• Run reports (P&Ls, In and out of Network reports) and investigate high claim issues for our group customers.
• Work with the Underwriting staff and Sales staff to develop decisions that reflect teamwork. Promote discussion and resolution of customer pricing issues. Maintain, on a consistent basis, renewal and prospective account files that assist underwriters in the accurate development of premium rates.
• Coordinate self-funded proposal and renewal requests with insurance carriers in a timely fashion. Analyze stop loss proposals and prepare easily understood financial exhibits which highlight benefits options, cost savings and projected fixed and claim costs.
• Effectively implement the administrative fee of the new and renewal proposals to maintain a competitive market position and meet PHMB revenue guidelines.
• Maintain consultative relationships with brokers/agents, consultants and employer groups, as needed. Attend with the sales department, proposal and renewal client presentations. Provide necessary technical assistance in the communication of the administration fees, premium rates and financial exhibits.
• Provide essential paperwork for ASO sold case including Underwriting Disclosure and stop loss verification form. Calculate ASO binder check amount.

Qualifications

Required

• Bachelor's Degree or equivalent
• 5 years of experience in underwriting typically gained through skills/knowledge/abilities in related field
• Stop Loss underwriting experience

Preferred

• Healthcare Experience
• Provider based carrier experience

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

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How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1231 E Beltline - Grand Rapids