Small Group Underwriter

Let’s change healthcare together!

We are revolutionizing the healthcare landscape for small employers by providing accessible, high-quality, and easy-to-use healthcare plans. Drawing from deep experience working with small employers, we deliver plans crafted specifically for them, finding the right balance. Our mission is ambitious, and we’re already making waves. Through our innovative solutions, we empower businesses to offer competitive benefits packages that improve the lives of their employees and their families. By joining our team, you’ll have the opportunity to make a tangible impact while honing your skills alongside a supportive and talented group of professionals.

Job Summary

We are seeking a Small Group Underwriter to price, quote, and analyze the structure of a contract and policy for a group employer based on group demographics, medical questionnaires, claims experience, and other characteristics of each unique risk. The position:

• Uses discretion of Underwriting authority within established policies and ensures appropriate levels of profitability and growth over time.
• Identifies when to decline quotes that do not fit the overall strategy and risk structure.
• Analyzes risk factors for new business enrollment, annual renewals, and amendments in conformance with established underwriting policies, practices, and standards.
• Analyzes associated policies, guidelines, and market data to improve risk management, gain appropriate enrollment, or manage existing membership.
• Analyzes data such as financial conditions of the organization, participation percentage, type of industry, characteristics of employee groups, and individual participants’ past claim experience to determine benefits and set rates.
• Prepares reports and provides rationale and support regarding underwriting results, rate computations, and financial activity.
• Provides expense estimates and accurate analysis of financial exhibits.

Essential Responsibilities:

• Responsible for a book of business, renewing accounts, and writing new business at profitable levels to help achieve overall business targets or assigned volume of new applications or RFPs.
• Uses various systems, tools, and resources to obtain necessary data and accurately complete and track assigned work.
• Evaluates eligibility of groups and participating employees for new business quotes and mid-year additions.
• Calculates rates, evaluates different financial arrangements, interprets pricing policy, and adapts to unusual situations.
• Identifies questionable claim patterns and evaluates competitor claims experience, developing recommendations to address these issues.
• Applies corporate risk management policies and adjusts for unusual situations.
• Enforces business rules (participation, product availability, etc.) and ensures compliance.
• Supports internal initiatives, including underwriting policies, fraud detection, corporate compliance, and product development.
• Completes renewals, prospective quotes, and review of lower-level analyst (Underwriting Assistant) work according to production and timeliness standards.
• Communicates policy recommendations and influences Sales teams towards appropriate risk solutions.

Ideal Profile:

• Bachelor’s degree in mathematics, Actuarial Science, Finance, Business, Computer Science, or other quantitative analysis discipline, or 4 years of relevant progressive experience.
• 2-3 years in Underwriting self-funded or small group.
• Strong interaction with internal departments and external stakeholders.
• Proficient in applicable computer systems and applications.
• Independent worker with the ability to manage routine to complex projects.
• Ethical business practices with adherence to privacy and confidentiality policies.
• Strong problem-solving, organizational, and negotiation skills.
• Excellent math aptitude for completing analysis.

Why Join Our Team?

We are committed to providing affordable, high-quality, and easy-to-use healthcare plans for small employers. Here’s why you should consider joining our team:

• Competitive Pay and Benefits: We offer a competitive salary and attractive benefits, including life insurance, short-term disability, long-term disability, vision, dental, medical coverage, and a 401K plan with employer matching.
• Opportunities to Grow: We support professional development and offer opportunities to grow within the company.
• Collaborative Culture: Our work environment encourages collaboration and open communication.
• Location Flexibility: We offer location flexibility to support work-life balance.
• Generous Leave Policies: Enjoy 11 paid holidays, 15 days of paid vacation, and 8 paid sick days.