Senior Renewal Underwriter

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.

Position Summary:

Pareto Health is seeking a seasoned and detail-oriented Senior 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
• Provide guidance and training to junior underwriters and other team members, enhancing the overall expertise of the department.
• 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.
• Minimum of 4 years of experience in stoploss underwriting, with a proven history in handling complex health risks.
• Proficiency in underwriting software, 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

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.

_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.}