Risk Assessment: Evaluate and analyze health insurance applications to determine the risk they pose, helping to set premium rates that are both fair and competitive.
Claims Analysis: Interpret and analyze underlying claims experience to inform underwriting decisions and policy adjustments.
Collaboration: Work closely with sales teams to develop competitive insurance products and strategies, ensuring alignment with company goals and client needs.
Policy Development: Assist in the development of insurance policies or suggest changes to existing policies that balance the needs of market with the risk to the insurance company.
Regulatory Compliance: Stay updated with changes in legislation and regulations that may affect the product design and underwriting considerations.
Documentation: Maintain accurate and detailed records of policies underwritten and decisions made, tracking concessions and experience.
Communication: Coordinate with brokers and agents to gather additional information or to explain underwriting decisions.
Requirements
Education: Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related field.
Credentials: Professional actuarial credentials (e.g., ASA, FSA) are required.
Experience: Minimum of 5 years of experience in commercial health insurance underwriting (not Medicare, Medicaid, or individual market/ACA plans).
Experience working with sales teams in competitive situations is highly desirable.
Strong analytical and decision-making skills
Excellent communication and interpersonal skills
Proficiency in statistical analysis and risk assessment
Ability to interpret complex data and make informed decisions
Familiarity with underwriting software and tools
Preferred:
Advanced actuarial credentials (e.g., ASA or FSA)
Experience with large group health insurance underwriting for fully insured business
Knowledge of current healthcare regulations and market trends **
Benefits
Competitive salary
Comprehensive health, dental, and vision insurance