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Health Insurance Underwriter Jobs in Raleigh, NC

Iatinsurancegroup

Underwriting Manager

Raleigh, NC · Hybrid

$72K - $157K/yr

The Contract Binding Team within the Excess and Surplus division of IAT Insurance Group has an ... Numerous training and development opportunities to assist you in furthering your career * Heal ...

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All JobsHealth Insurance Underwriter JobsHealth Insurance Underwriter Jobs in Raleigh, NC

Health Insurance Underwriter information

See Raleigh, NC salary details

$31.6K

$76.7K

$135.6K

How much do health insurance underwriter jobs pay per year?

As of Aug 22, 2026, the average yearly pay for health insurance underwriter in Raleigh, NC is $76,676.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,300.00 and $84,600.00 per year, depending on experience, location, and employer.

What does a health insurance underwriter do?

A Health Insurance Underwriter is responsible for evaluating the risks associated with insuring individuals or groups and determining the terms and premiums for health insurance coverage. They review applications, assess medical histories, and use statistical data to decide whether to approve or deny coverage. Their goal is to ensure that the insurance company maintains a balanced risk portfolio while offering fair and competitive rates to policyholders. Health insurance underwriters play a crucial role in protecting the financial stability of insurance companies and providing appropriate coverage to customers.

What are the key skills and qualifications needed to thrive as a health insurance underwriter?

To thrive as a Health Insurance Underwriter, you need strong analytical skills, attention to detail, and a solid understanding of insurance principles, typically supported by a bachelor’s degree in business, finance, or a related field. Proficiency with underwriting software, risk assessment tools, and knowledge of industry regulations is essential, and certifications such as the Chartered Property Casualty Underwriter (CPCU) can be advantageous. Effective communication, critical thinking, and decision-making skills help underwriters explain decisions and work collaboratively with clients and colleagues. These competencies are vital for accurately assessing risk, ensuring regulatory compliance, and maintaining the financial health of the insurance provider.

What are some typical challenges health insurance underwriters face when assessing applications, and how can they overcome them?

Health Insurance Underwriters often encounter challenges such as evaluating incomplete or complex medical histories, staying current with changing regulations, and balancing risk assessment with competitive pricing. To overcome these challenges, underwriters rely on strong analytical skills, continuous training, and close collaboration with medical professionals and actuaries. Leveraging advanced software tools and maintaining clear communication with agents and applicants also helps ensure accurate and fair decision-making.

What is the difference between Health Insurance Underwriter vs Health Insurance Claims Adjuster?

AspectHealth Insurance UnderwriterHealth Insurance Claims Adjuster
Primary RoleAssess risk and determine policy eligibility and premiumsEvaluate insurance claims to determine coverage and payout
Required CredentialsTypically requires a bachelor's degree; certifications like CPCU or ARM are commonHigh school diploma or equivalent; certifications like AIC or CPCU are beneficial
Work EnvironmentOffice-based, working with underwriting software and risk dataOffice or remote, reviewing claims and interacting with policyholders
Industry UsageCommonly employed by insurance companies during policy issuanceEmployed by insurance companies or third-party administrators during claims processing

While both roles are integral to the insurance industry, health insurance underwriters focus on evaluating risks before issuing policies, whereas health insurance claims adjusters handle claims after coverage is in place. Understanding these differences helps job seekers identify the right career path within health insurance.

How do you become a health insurance underwriter?

To become a health insurance underwriter, candidates typically need a bachelor's degree in finance, economics, or a related field. Gaining experience in insurance or risk assessment, along with developing skills in data analysis and understanding insurance policies, is important. Professional certifications such as the Chartered Property Casualty Underwriter (CPCU) can enhance job prospects.

What are popular job titles related to Health Insurance Underwriter jobs in Raleigh, NC?

For Health Insurance Underwriter jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Health Insurance Underwriter jobs in Raleigh, NC look for?

The top searched job categories for Health Insurance Underwriter jobs in Raleigh, NC are:

Health Insurance Underwriter jobs near you
Infographic showing various Health Insurance Underwriter job openings in Raleigh, NC as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $76,676 per year, or $36.9 per hour.

Account Manager- Commercial Insurance

Insurance Office of America

Durham, NC • On-site

Full-time

Medical, Retirement

Re-posted 24 days ago

Insurance Office Of America rating

8.8

Company rating: 8.8 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

56th of 311 rated insurance

Job description

Description

Job Description:

Commercial Insurance Account Manager 
 
Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Additionally, our remote work policy includes having a dedicated, distraction-free workspace. Remote work is not a substitute for childcare, elder care, or other personal responsibilities during working hours. To view our branch locations, please visit: ioausa.com/locations 
 

About the Role:

We are seeking insurance professionals with 2 to 5 years of commercial insurance experience and an active P&C license, for current and future opportunities within our Account Management career path based on experience and licensing. Multiple experience levels considered, including Account Associate, Senior Account Associate and Account Manager Associate opportunities.

Provide administrative, technical, and customer service support to the account team and assigned clients. This role ensures accurate policy processing, supports new and renewal business, and maintains high service standards while minimizing risk exposure.

The scope, autonomy, and complexity of responsibilities increase by level, ranging from task execution (Account Associate) to independent account management and technical advisory (Account Manager Associate).

Core Responsibilities (All Levels)

Client Service & Support

  • Deliver proactive, responsive service to clients and internal teams
  • Communicate workload status and resolve service requests efficiently
  • Support strong client and team relationships

Policy Administration

  • Process endorsements, audits, cancellations, reinstatements
  • Manage certificates, ID cards, binders, invoices, and related documents
  • Support policy issuance and documentation accuracy

Business & Renewal Support

  • Assist or lead new and renewal business processes
  • Prepare submissions and proposals
  • Gather underwriting information and documentation

Systems & Workflow Management

  • Maintain accurate client and policy data in systems
  • Monitor activities and ensure timely task completion

Billing & Compliance

  • Resolve billing discrepancies and support collections
  • Ensure adherence to policies and minimize errors & omissions exposure

Level Differentiation

Account Associate (AA) (Non-Exempt)– Foundational

  • Executes transactional and administrative tasks
  • Supports workflows under close supervision
  • Assists with submissions and policy processing
  • Focused on accuracy, timeliness, and task completion

Senior Account Associate (SAA) (Non-Exempt)– Intermediate

  • Independently manage small or low-complexity accounts
  • Tracks renewals and ensures timely processing
  • Performs underwriting preparation and loss run analysis
  • Evaluates and negotiates coverage/pricing
  • Prepares proposals and binds coverage
  • Provides guidance to junior staff

Account Manager Associate (AMA) (Exempt) – Advanced

  • Operates with minimal supervision and increased autonomy
  • Manages full customer service lifecycle (billing, claims, coverage)
  • Leads renewal strategy, negotiation, and execution
  • Performs in-depth coverage analysis and advisory support
  • Handles more complex accounts and escalations
  • Demonstrates advanced technical expertise and leadership

Differences Summary

  • Account Associate: Task-driven, execution-focused, entry-level support
  • Senior Account Associate: Independent contributor, analytical, manages smaller accounts
  • Account Manager Associate: Advanced expertise, owns client experience, near Account Manager level

What We Offer: 

  • Competitive salaries and bonus potential 
  • Company-paid health insurance 
  • Paid holidays, vacations, and sick time 
  • 401K with employer match 
  • Professional growth and career progression opportunities 
  • Respectful culture and work/family life balance 
  • Community service commitment 
  • Supportive teammates and a rewarding work environment 

 
What to Expect (Application Process): 

  • 30-Minute Phone Screen, Online Assessments, and Interview(s) 

Salary Range

The expected pay range for this position is 45-75K annually, depending on role, experience, relevant skills, and geographic location.

Insurance Office of America is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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