Healthcare Reinsurance Underwriter
The Judge Group Inc.

McKeesport, Pennsylvania


Location: McKeesport, PA
Description: Healthcare Reinsurance Underwriter - Office Based Work

MANAGED CARE REINSURANCE UNDERWRITER.

JOB SUMMARY

  • This job prices quotes and analyzes the structure of a contract based on claims experience, characteristics of the reinsurance programs.
  • Identifying when to decline quotes that do not fit strategy and risk structure.
  • Analyzes risk factors for new enrollment, annual renewals, and amendments of reinsurance programs in conformance with established underwriting policies, practices, and standards.
  • Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment or manage existing membership.
  • Analyzes data such as financial conditions of the organization, participation percentage, type of industry, characteristics of reinsurance programs, or past claim experience to determine what benefits can be offered and to set the rates.
  • Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one or more of the following: underwriting results, rate computations and financial activity.
  • Provides expense estimates and accurate analysis of financial exhibits.
  • The incumbent provides oversight, guidance and/or assistance to lower level underwriters.

ESSENTIAL RESPONSIBILITIES:

  • Responsible for a book of business of renewing accounts and writing new business at profitable levels
  • Calculate rates, employ different financial arrangements, interpret pricing policy and adapt to unusual situations
  • Identify questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for these situations.
  • Recommend appropriate adaptation of pricing within the appropriate policy/guideline to accommodate each client specific or individual situation.
  • Support other internal initiatives which may include but not limited to fraud detection, corporate compliance, wellness/disease management, and product development efforts.
  • Complete renewals, prospect quotes, review of lower level analyst work in accordance with production and timeliness standards.
  • Communicate recommendations of policy adaptation to accommodate client-specific situations supported by a clear rationale or management principles. Influence sales and external audiences toward appropriate risk solutions.

EDUCATION

Required

  • Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, Computer Science or other qualitative analysis discipline

EXPERIENCE

Required

  • 5 - 7 years Underwriting of Managed Care Reinsurance, Provider Excess or Healthcare reinsurance programs

Skills:

  • Skilled and knowledgeable interaction with various internal departments and external stakeholders
  • Ability to use applicable computer systems, electronic tools and applications
  • Ability to work independently and assume responsibility for projects across a continuum from routine to highly complex
  • Demonstrate an understanding and support of corporate and departmental goals and initiatives
  • Demonstrate ethical business practices with adherence to all privacy and confidentiality policies and regulations
  • Good problem-solving, organizational, and negotiation skills required
  • Excellent math aptitude required to complete analysis

Please reply via this post or feel free to reach out to Matt Mabry at mmabry@judge.com or via text at (484) 585-4078


Contact: mmabry@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com



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