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Senior Underwriter – Health Insurance
Leading Edge AdministratorsSenior Underwriter overseeing underwriting for self-funded health plans and ASO administration. Leading underwriting standards and providing strategic oversight on new business and renewals.
Posted 7/10/2026full-timeRemote • Arizona, Florida, Illinois, Kansas, Kentucky, Missouri, New Jersey, New York, Ohio, Oklahoma, South Carolina, Tennessee, Texas • 🇺🇸 United StatesSeniorWebsite
About the role
Key responsibilities & impact- Lead and oversee all underwriting activities for ASO and self-funded health plan clients, including new business, renewals, and existing account performance
- Advise and mentor junior underwriters as a senior resource / SME, offering day-to-day guidance and technical support to foster professional development and underwriting consistency
- Evaluate new business and renewal opportunities for ASO and self-funded employer groups
- Analyze medical, pharmacy, and ancillary claims experience, utilization trends, and demographic data
- Develop financial projections, renewal recommendations, and ASO fee pricing
- Assess risk and recommend appropriate specific and aggregate stop-loss coverage levels
- Coordinate with stop-loss carriers to obtain quotes, negotiate terms, and manage underwriting requirements
- Review large claimant activity and emerging risk trends to support accurate pricing decisions
- Prepare underwriting reports, proposals, and financial analyses for clients and internal stakeholders
- Collaborate with sales and account management teams to support RFP responses, client presentations, and finalist meetings
- Monitor account performance and recommend pricing, funding, or plan design adjustments as needed
- Maintain underwriting documentation and ensure compliance with company policies and underwriting guidelines
- Ensure compliance with state and federal regulations, including healthcare legislation changes by maintaining up-to-date knowledge of regulatory changes
- Develop underwriting reports, forecasts, and presentations.
Requirements
What you’ll need- Bachelor's degree in Business, Finance, Mathematics, Actuarial Science, Healthcare Administration, or a related field
- 5+ years of underwriting experience in underwriting of self-funded health plans, ASO administration, employee benefits, or stop-loss insurance
- Strong knowledge of medical and pharmacy claims analysis, healthcare funding arrangements, and stop-loss underwriting principles
- Advanced proficiency in Microsoft Excel and financial modeling tools
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
UnderwritingClaims AnalysisFinancial ProjectionsRisk AssessmentData AnalysisPricing RecommendationsForecastingReport PreparationStop-Loss CoverageHealthcare Funding Arrangements
Soft Skills
MentoringCollaborationCommunicationAdvisingProblem-Solving