Underwriter (Phi/Bos)
Boston, MA, United States
Position Overview:
Pareto Health is seeking a dedicated and detail-oriented Underwriter to join our team. This role is crucial in assessing and managing the risks associated with self-funded and fully insured health plans, using stoploss insurance. The ideal candidate will bring a foundational understanding of analyzing health risks and developing stoploss strategies that align with our commitment to providing innovative and cost-effective healthcare solutions to our clients.
Key Responsibilities:
Support the underwriting process using a best-in-class captive offering to create profitable stoploss offerings for prospective captive members.
Conduct preliminary risk assessments of prospective Pareto captive members, who are currently both fully insured and self-funded health plans, to assist in determining appropriate stoploss coverage levels and premiums.
Assist in analyzing healthcare data, including claims and utilization patterns, to forecast potential risks and cost implications.
Collaborate with the Sales team to provide consultants with the necessary financial information required to join the captive.
Adapt to working in an environment of incomplete information.
Stay informed about competitive market dynamics and respond appropriately.
Work under the guidance of senior underwriters to enhance underwriting skills and knowledge.
Participate in ongoing training to develop a deeper understanding 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.
Required Skills & Qualifications:
Bachelor’s degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
Minimum of 2-3 years of experience in underwriting, preferably with some exposure to stoploss insurance and health risks. Experience with captives is a plus but not required.
Basic proficiency in underwriting software, data analysis tools, and Microsoft Office Suite.
Ability to analyze data, identify trends, and support underwriting decisions.
Good communication and negotiation skills, with the ability to articulate technical concepts to a non-technical audience.
Team player, capable of working effectively in a dynamic and collaborative environment.
Basic understanding of stoploss products, self-funding, healthcare industry trends, and the regulatory landscape.
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