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Medical Underwriting Jobs (NOW HIRING)

Premera Blue Cross

Director Underwriting

Mountlake Terrace, WA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Eight years of group medical underwriting, or health insurance consulting experience, including 5 years of experience managing teams. (Required) Additional preferred skills/ experiences include:

Premera Blue Cross

Director Underwriting

Mountlake Terrace, WA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Eight years of group medical underwriting, or health insurance consulting experience, including 5 years of experience managing teams. (Required) Additional preferred skills/ experiences include:

ParetoHealth

Senior Underwriter - New Business

Philadelphia, PA · Hybrid

$99K - $117K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Perform medical underwriting review of individual large claimants based upon self-funded reporting both with and without supporting nurse review resources * Effectively execute in an environment of ...

Cynet Systems

Clinical Medical Review Nurse

Baltimore, MD · On-site

$36.49 - $41.49/hr

Perform medical underwriting and risk assessment by reviewing applications and medical records of potential members. Required Qualifications Minimum 3 years of acute clinical experience. Experience ...

Elevance Health

Group Underwriter, Senior

Indianapolis, IN · Hybrid

$94K - $111K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Level Funded medical underwriting experience highly preferred. * Small group experience preferred. Job Level: Non-Management Exempt Workshift: Job Family: UND > Group Underwriting Please be advised ...

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How much do medical underwriting jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medical underwriting in the United States is $40.70, according to ZipRecruiter salary data. Most workers in this role earn between $38.70 and $42.55 per hour, depending on experience, location, and employer.

What is the difference between Medical Underwriting vs Medical Claims Adjuster?

AspectMedical UnderwritingMedical Claims Adjuster
Required CredentialsLicenses, certifications in insurance and health assessmentsLicenses, insurance adjuster certifications
Work EnvironmentOffice-based, analyzing health data and applicationsOffice or field, investigating claims and assessing damages
Industry UsageInsurance companies, health plansInsurance companies, third-party administrators
Primary FocusAssessing risk and determining policy eligibilityEvaluating claims for coverage and settlement

Medical Underwriting and Medical Claims Adjuster both work within the insurance industry but focus on different stages. Medical Underwriters evaluate applicants' health data to determine policy eligibility, while Medical Claims Adjusters review and settle claims after coverage is in place. Understanding these roles helps clarify career paths and employer expectations in health insurance.

What are the key skills and qualifications needed to thrive as a medical underwriter, and why are they important?

To thrive as a Medical Underwriter, you need a solid understanding of medical terminology, risk assessment, and insurance principles, usually supported by a degree in a healthcare or related field. Familiarity with underwriting software, databases, and sometimes certifications like LOMA or ALU are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you make sound decisions and explain complex findings. These abilities ensure accurate risk evaluation, regulatory compliance, and clear collaboration with clients and colleagues.

How to become a medical underwriter?

To become a medical underwriter, candidates typically need a bachelor's degree in health sciences, insurance, or related fields. Relevant skills include understanding medical terminology, risk assessment, and proficiency with underwriting software; obtaining industry certifications like the Chartered Life Underwriter (CLU) or Fellow of the Society of Actuaries (FSA) can enhance prospects. Entry-level roles often require some experience in insurance or healthcare environments.

What are some common challenges faced by medical underwriters, and how can they be addressed?

Medical underwriters often encounter challenges such as interpreting complex medical histories, staying updated with evolving healthcare regulations, and balancing risk assessment with customer service. To address these, underwriters typically undergo continuous training, collaborate closely with medical professionals and other underwriting team members, and make use of advanced software tools to support decision-making. Developing strong analytical skills and clear communication is essential for efficiently navigating these challenges and ensuring accurate risk evaluation.

What is medical underwriting?

Medical underwriting is the process insurance companies use to evaluate an applicant's health information to determine eligibility and pricing for health or life insurance policies. It involves reviewing medical history, current health status, and sometimes requiring medical exams or reports. The goal is to assess the risk associated with insuring an individual, which can affect whether coverage is offered and at what premium rate. This process helps insurers set fair prices and manage risk within their insurance pool.

What does a medical underwriting do?

A medical underwriter evaluates applicants' health information to determine insurance risk and coverage eligibility. They review medical records, health questionnaires, and lab results, often using specialized software, to assess the likelihood of future claims and set appropriate policy terms.
More about Medical Underwriting jobs
What cities are hiring for Medical Underwriting jobs? Cities with the most Medical Underwriting job openings:
What are the most commonly searched types of Medical Underwriting jobs? The most popular types of Medical Underwriting jobs are:
What states have the most Medical Underwriting jobs? States with the most job openings for Medical Underwriting jobs include:
What job categories do people searching Medical Underwriting jobs look for? The top searched job categories for Medical Underwriting jobs are:
Medical Underwriting jobs near you
Infographic showing various Medical Underwriting job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $84,666 per year, or $40.7 per hour.

Director Underwriting

Premera Blue Cross

Mountlake Terrace, WA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Premera Blue Cross rating

8.0

Company rating: 8.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

163rd of 304 rated insurance

Job description

Workforce Classification:

Hybrid


Join Our Team: Do Meaningful Work and Improve People's Lives

Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed tobeinga workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development,we'reable to better serve our customers.It'sthis commitment that has earned us recognition as one of the best companies to work for.Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.

As the Director of Underwriting, you will lead a talented team dedicated to delivering high-quality work and strategic support through advanced underwriting techniques. This leader will think creatively to achieve financially sound and sustainable growth.

This impactful leadership role will:

  • Strategize with clients ranging from Fortune 10 to Fortune 500 companies that want to differentiate themselves in the marketplace via their benefits offerings and ensure that underwriting can support their benefits strategies sustainably.

  • Strategically partner with actuaries and our pharmacy division that develops in-house formularies, pricing, and product design that strategically align with our mission to make healthcare work better and be more cost-effective.

  • Provide underwriting oversight for the unique Alaska market where Premera has a close partnership with providers, hospitals, brokers, employer groups, unions, public entities, and native corporations. Oversee stop-loss renewals, working closely with self-insured groups in this complex market.

What you will do:

Underwriting and Pricing Activities

  • Provide Strategic Vision: Assist Underwriting senior management in sustaining long-term policies and procedures to formulate work unit strategies in support of organizational goals.

  • Champion and Partner with Clients: Provide integral support to Sales and Account Management teams in client presentations, negotiations, and sales of renewals and proposals.

  • Provide Systems-Based Solutions: Use your understanding of key business goals and strategies to make decisions that address critical business threats and opportunities.

Data Systems and Technology

  • Innovate and Lead: Develop and maintain state-of-the-art pricing data systems that empower underwriting and strategic management decisions with timely and accurate information.

  • Design Excellence: Oversee the creation and maintenance of sophisticated underwriting models that set the standard for excellence.

  • Leverage Technology: Stay ahead of the curve by leveraging technology to drive practical solutions.

Leadership and Collaboration

  • Mentor and Inspire: Lead an engaged underwriting team, inspiring them to grow and develop at a company that cares.

  • Build a Dream Team: Create and maintain a core competency in underwriting by recruiting, hiring, and training a high-quality, experienced, and energetic team of underwriters.

  • Bring Your Collaborative Spirit: Foster open and collaborative relationships with other departments to drive success.

What you will bring:

  • Bachelor's degree in Business Administration, Mathematics, or related field of study or 4 years of work experience.

  • Eight years of group medical underwriting, or health insurance consulting experience, including 5 years of experience managing teams. (Required)

Additional preferred skills/ experiences include:

  • Master's degree in a related field.

  • CEBS Designation.

  • Demonstrated track record in providing underwriting leadership in complex medium to large size businesses.

  • Substantial and diverse knowledge of the health insurance industry and the group underwriting function within an insurance carrier setting.

  • Excellent negotiation and influencing skills. Demonstrated ability to negotiate "win-win" solutions as it relates to business decisions.

Preferred location is Western Washington, we are open to telecommuters in the PST and MST zones.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

  • Medical, vision, and dental coverage with low employee premiums.

  • Voluntary benefit offerings, including pet insurance for paw parents.

  • Life and disability insurance.

  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

  • Generous paid time off to reenergize.

  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

  • Commuter perks make your trip to work less impactful on the environment and your wallet.

  • Free convenient on-site parking.

  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.

  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

  • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at careers@premera.com or via phone at 425-918-4785.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate's geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

Salary Range:

$157,900.00 - $315,900.00

We're happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We're committed to creating an environment where all employees are celebrated for their unique skills and contributions.

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