Stop Loss Underwriter

2 weeks ago

Tempe, United States MedImpact Healthcare Systems Full time

Exemption Status:
United States of America (Non-Exempt)

$50,668 - $66,497 - $82,326

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution

**Job Description**:
Stop Loss Underwriter

$50,667 - $66,500 - $82,333

Summary: The Stop Loss Underwriter plays a critical role in assessing and managing risks associated with medical stop loss insurance policies.

Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Utilize actuarial tools, statistical models, and industry benchmarks to assess the potential risk exposure of each policy and determine appropriate premium rates and coverage limits.
- Review and analyze policy documents, endorsements, and other relevant materials to ensure compliance with underwriting guidelines, regulatory requirements, and company standards.
- Analyze large volumes of claims data to identify trends, patterns, and emerging risks, providing insights to support underwriting decisions and pricing strategies.
- Collaborate with brokers, agents, and clients to gather additional information, clarify underwriting requirements, and negotiate terms and conditions of coverage.
- Monitor the performance of the medical stop loss portfolio, tracking key performance indicators (KPIs), analyzing loss ratios, and recommending adjustments to underwriting strategies as needed.
- Develop and update underwriting guidelines, policies, and procedures to reflect changes in market conditions, regulatory requirements, and emerging industry trends.
- Implement risk mitigation measures, such as reinsurance arrangements, risk-sharing agreements, and alternative risk transfer solutions, to protect the company's financial interests and minimize exposure to catastrophic losses. Ensure compliance with all applicable laws, regulations, and industry standards governing medical stop loss insurance underwriting activities, maintaining the highest ethical standards at all times

Education and/or Experience

Bachelor's degree in business, finance, mathematics, actuarial science, or a related field. Advanced degree or professional certifications are plus (or equivalent combination of education and experience) along with at least one year of related work experience.

Other Skills and Abilities

Thorough understanding of medical insurance terminology, concepts, and underwriting principles, with knowledge of regulatory requirements and industry best practices.

Computer Skills

To perform this job successfully, an individual should have knowledge of Artificial Analytics tools i.e., Gradient, Verikai ,software, internet software and Microsoft Office Suite and Outlook.

The Perks:

- Medical / Dental / Vision / Wellness Programs
- Paid Time Off / Company Paid Holidays
- Incentive Compensation
- 401K with Company match
- Life and Disability Insurance
- Tuition Reimbursement
- Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,

California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:
The above

statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

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