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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
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in underwriting for ASO and self-funded health plans, with strong analytical skills in medical and pharmacy claims analysis, financial modeling, and compliance with healthcare regulations. Capable of mentoring junior underwriters and collaborating effectively with sales and account management teams.
Highest-signal resume keywords
Underwriting ExperienceMedical Claims AnalysisFinancial ModelingStop-Loss Underwriting PrinciplesRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
UnderwritingClaims AnalysisFinancial ProjectionsRisk AssessmentData AnalysisPricing RecommendationsForecastingReport PreparationStop-Loss CoverageHealthcare Funding Arrangements
Soft Skills
MentoringCollaborationCommunicationAdvisingProblem-Solving
Tools & Technologies
Microsoft ExcelFinancial Modeling Tools
Industry Keywords
ASO AdministrationSelf-Funded Health PlansEmployee BenefitsStop-Loss InsuranceHealthcare Legislation
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