Exemption Status:

United States of America (Non-Exempt)

$29.32 - $38.85 - $48.38

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary: The l Stop Loss Underwriter II plays a critical role in assessing and managing risks associated with medical stop loss insurance policies.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Evaluate and underwrite medical stop loss insurance applications, assessing risk factors such as claims history, medical conditions, demographics, and policy provisions.
• Utilize actuarial tools, statistical models, and industry benchmarks to assess the potential risk exposure of each policy and determine appropriate premium rates and coverage limits.  
• Review and analyze policy documents, endorsements, and other relevant materials to ensure compliance with underwriting guidelines, regulatory requirements, and company standards.
• Analyze large volumes of claims data to identify trends, patterns, and emerging risks, providing insights to support underwriting decisions and pricing strategies.
• Collaborate with brokers, agents, and clients to gather additional information, clarify underwriting requirements, and negotiate terms and conditions of coverage.
• Monitor the performance of the medical stop loss portfolio, tracking key performance indicators (KPIs), analyzing loss ratios, and recommending adjustments to underwriting strategies as needed.
• Develop and update underwriting guidelines, policies, and procedures to reflect changes in market conditions, regulatory requirements, and emerging industry trends.
• Implement risk mitigation measures, such as reinsurance arrangements, risk-sharing agreements, and alternative risk transfer solutions, to protect the company's financial interests and minimize exposure to catastrophic losses. Ensure compliance with all applicable laws, regulations, and industry standards governing medical stop loss insurance underwriting activities, maintaining the highest ethical standards at all times

Supervisory Responsibilities        

This job has no supervisory responsibilities.

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience                                            

Bachelor's degree in business, finance, mathematics, actuarial science, or a related field. Advanced degree or professional certifications are plus  (or equivalent combination of education and experience) a minimum 3+ years’ experience in underwriting or stop loss for health care accounts or equivalent combination of experience.

Computer Skills

To perform this job successfully, an individual should have know