Senior Medical Stop Loss Underwriter

Location: Remote, based in Pennsylvania, United States

Company

hirify.global provides medical stop-loss and related insurance solutions for self-funded employer health plans.

What you will do

• Manage renewing accounts and new business opportunities while supporting profitable growth and assigned application or RFP volumes.
• Calculate rates, evaluate financial arrangements, and adapt pricing to unusual client and risk situations.
• Analyze claims patterns, member risk, financial conditions, enrollment characteristics, and industry data for new and renewing groups.
• Identify risks, compliance issues, disclosure concerns, and enrollment conditions that require underwriting action.
• Influence sales teams, brokers, third-party administrators, and other stakeholders toward appropriate pricing and risk solutions.
• Review lower-level analyst work, provide technical guidance, and support process, system, fraud detection, compliance, wellness, and product development initiatives.

Requirements

• Bachelor's degree in mathematics, actuarial science, finance, business, computer science, or another quantitative discipline.
• 5–7 years of experience underwriting self-funded plans and converting fully insured prospects to self-funding.
• Strong mathematical, analytical, problem-solving, organizational, and negotiation skills.
• Ability to work independently on routine through highly complex projects and collaborate with internal and external stakeholders.
• Ability to follow ethical, privacy, confidentiality, regulatory, and corporate compliance requirements.
• Must be based in Pennsylvania, United States, for the remote work-at-home arrangement.

Nice to have

• Active pursuit of a professional healthcare designation.
• Willingness to complete one LOMA, CEBS, or AHIP course within twelve months.

Culture & Benefits

• Remote work-at-home arrangement.
• Travel requirement of 0%–25%.
• Opportunity to support cross-functional initiatives in fraud detection, compliance, wellness, disease management, and product development.
• Work involves handling confidential customer information and requires adherence to HIPAA, privacy, information security, and business conduct policies.