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9 дней назад

PEO Underwriter (Health Insurance)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
junior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
PEO Underwriter (Health Insurance): Evaluating, pricing, and managing risk for new and renewing PEO groups within a co-employment model with an accent on claims analysis, data validation, and regulatory compliance. Focus on developing pricing recommendations, applying risk-pooling and composite-rating principles, and coordinating accurate underwriting data across brokers, carriers, compliance, benefits, and payroll teams.

Location: Remote within the United States; occasional travel may be required for training or team events. US work authorization required.

Company

hirify.global provides the organization for a PEO underwriting role focused on evaluating and pricing group health risks within a co-employment model.

What you will do

  • Review and prioritize new business, renewal, off-cycle, and census-update submissions.
  • Audit employee census data and validate carrier documentation, rates, contributions, enrollment, and renewal methodologies.
  • Analyze claims experience, loss ratios, credibility, trend factors, and other risk drivers to develop pricing recommendations.
  • Apply underwriting principles within PEO/MEWA frameworks, including risk pooling, composite rating, and multi-state regulatory considerations.
  • Prepare underwriting summaries, maintain audit trails, and communicate decisions to brokers, carrier partners, and internal stakeholders.
  • Coordinate with Compliance, Benefits Operations, Implementation, and Payroll/HRIS teams to ensure accurate downstream data and regulatory adherence.

Requirements

  • Bachelor’s degree in Finance, Mathematics, Statistics, Computer Science, Economics, or a related analytical field.
  • 1–3 years of experience in health insurance underwriting, benefits administration, actuarial support, or a related analytical role.
  • Experience working with large datasets, employee census files, and spreadsheet-based analysis.
  • Strong Excel or Google Sheets skills and the ability to learn new platforms quickly.
  • Strong attention to detail, written and verbal communication, and the ability to manage multiple cases and deadlines.
  • US work authorization is required.

Nice to have

  • Exposure to PEO, ASO, or group health insurance concepts.
  • Familiarity with ACA compliance, COBRA, or benefits administration workflows.
  • Experience with HRIS, benefits administration, or payroll platforms.
  • Progress toward or interest in AHIP, LOMA, or other underwriting or actuarial certifications.

Culture & Benefits

  • Work-from-home arrangement within the United States.
  • Medical, dental, and vision coverage.
  • Occasional travel for training or team events may be required.
  • Focus on secure handling of PHI and sensitive data in accordance with HIPAA and internal protocols.

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