9 дней назад
PEO Underwriter (Health Insurance)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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