Underwriting Data Analyst - Medical Stoploss

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.

*This role will be a hybrid role located in our Philadelphia office 2-3 days a week.

Position Overview:

The Stop Loss Underwriting Data Analyst supports Pareto Health’s Stop Loss Underwriting team by analyzing data, preparing reports, and providing insights that assist in the underwriting process. This role involves working closely with underwriting, carrier partners, and risk teams to ensure accurate assessment and pricing of risk. Additionally, the role focuses on analyzing operational processes to identify areas for improved efficiency. The analyst will use statistical and analytical tools to evaluate large datasets, identify trends, and develop recommendations that contribute to effective decision-making.

Key Responsibilities:

Data Analysis & Reporting:

• Collect, organize, and analyze large datasets related to stop loss insurance, including claims, premium payments, and policy information.
• Use statistical and analytical tools (Excel, SQL) to assess trends, risks, and operational efficiencies.
• Prepare detailed reports, dashboards, and data visualizations to assist the underwriting team in decision-making and pricing strategies.
• Monitor and track performance metrics related to stop loss policies, identifying key areas for improvement.

Underwriting & Carrier Support:

• Collaborate with underwriters and carrier partners to provide data-driven insights for evaluating stop loss applications.
• Assist in developing pricing models and support risk assessments through data analysis.
• Perform experience-rated and prospect-rated stop loss underwriting data analysis to help develop pricing recommendations.

Trend Identification, Risk Evaluation & Operational Efficiency:

• Identify trends, anomalies, and key risk factors from historical claims and underwriting data.
• Provide actionable insights on risk assessment and pricing strategies.
• Analyze operational processes and workflows to identify areas for increased efficiency and effectiveness within the underwriting process.

Collaboration & Communication:

• Work closely with underwriting, carrier partners, risk, actuarial, and claims teams to gather and validate data.
• Present findings, recommendations, and insights to underwriting, carrier partners, and management teams.
• Assist in the development of tools and processes to streamline data analysis and improve underwriting outcomes.

Required Qualifications:

• 2-5 years of experience as a Data Analyst or underwriting support role, in the stoploss health insurance industry.
• Experience with Tableau for data visualization and SQL, and Excel for data analysis.
• Experience with stop loss insurance underwriting, self-funded health insurance industry.
• An understanding of underwriting principles and insurance data analysis.
• Bachelor’s degree, preferably in Mathematics, Statistics, Economics, Finance, Data Science, or a related field. Advanced degrees are a plus.                                                                     
• Strong analytical and problem-solving skills.
• Excellent attention to detail and ability to manage multiple projects simultaneously.
• Effective communication skills, both verbal and written.
• Proven ability to work collaboratively within a team and across departments.

Pareto Perks:

Pareto offers a competitive compensation package commensurate with skills and experience. In addition, Pareto offers a robust benefits package including Medical (100% employer paid), Dental, Vision, STD/LTD, and employer 401(k) contribution.

What We Live By:

1. Get it Done and Get it Done Right – We crank out work at higher rates and at a higher quality than our peers in the industry. Our ability to do a lot with a little is a driving force behind Pareto Health, one that's made our brand synonymous with class, quality, and extreme competence.

2. Fire in the Belly - We only make time for champions; we only consider those with an inner desire to excel and push things forward. Our team, our partners, our members–everyone in the Pareto Health universe–works hard, learns constantly, improves furiously, and does so with a fire in the belly.

3. See the Field - As you're stuck thinking about tomorrow, we're already on to thinking about next year. Pareto Health embodies a culture of anticipation, perception, and acting with intent. In one-on-ones, in meetings, at a company level, and at an industry level, we're always two steps ahead.

4. For the Greater Good - Our vision extends past the here and now. We're rowing in the same direction toward the common goal of transforming an industry. It's our accountability, teamwork, and responsibility that ensure as we're changing industry tides, we're helping them rise. Now watch as we lift all boats in the process.

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.