Sr. Medical Underwriter

Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.

About Our Opportunity
As a Sr. Medical Underwriter for our Certus team here at Valenz, you will be a key player in our stop-loss and risk mitigation solutions. You'll assess and manage medical-related risks associated with new and renewal employer groups, ensuring compliance with carrier underwriting guidelines. A strategic mindset, analytical acumen, and a deep understanding of the healthcare insurance landscape are crucial for success in this role. Additionally, you'll build and maintain strong relationships with our internal business development team and external producers.

Things You’ll Do Here:

• Risk Assessment: Conduct comprehensive evaluations of applications for stop-loss insurance, focusing on medical claims, chronic conditions, and healthcare trends. Assess risk using medical data, financial information, and industry insights.
• Policy Structuring: Determine suitable premiums and stop-loss levels based on medical risk assessments, ensuring compliance with industry standards and regulations.
• Data Analysis: Utilize advanced underwriting software and analytics tools to review and analyze applications, factoring in varying risk components and potential for loss.
• Client Interaction: Partner and maintain positive relationships with brokers, agents, and clients to gather information, clarify details, and negotiate policy terms within authority limits while maintaining service and loss ratio standards.
• Industry Knowledge: Stay updated on health insurance industry trends, medical regulations, insurance laws, emerging risks, and customer needs to provide informed recommendations for underwriting policies and standards.
• Reporting and Documentation: Prepare detailed reports and maintain accurate records of underwriting decisions, promoting transparency and informed decision-making.
• Team Collaboration: Work with the risk management team to develop and implement effective risk mitigation and loss prevention strategies. Partner with peer underwriters and other team members as needed.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.

What You’ll Bring to the Team:

• 7+ years of recent experience as a Medical Underwriter or equivalent role working on behalf of a carrier, MGU, or TPA.
• Exceptional analytical, decision-making, and problem-solving skills, with a proven track record in effective risk assessment.
• Strong negotiation skills and the ability to foster and maintain professional relationships.
• Comprehensive knowledge of medical terminology and the health insurance industry, including laws, regulatory standards, market trends, etc.

A plus if you have:

• Experience with stop-loss insurance underwriting.
• Bachelor's degree in business, marketing, or a related field.
• Relevant industry or role-related Certification(s).

Where you'll work:
This role is remote or hybrid if you live in the Indianapolis area!
 

Why You Will Love Working Here

We offer employee perks that go beyond standard benefits and compensation packages – see below!

At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You’ll find limitless growth opportunities as we grow together. If you're ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you!

 

Perks and Benefits

• Generously subsidized company-sponsored Medical, Dental, and Vision insurance.
• Spending account options: HSA, FSA, and DCFSA
• 401K with company match and immediate vesting.
• Flexible working environment.
• Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.
• Paid maternity and paternity leave.
• Community giveback opportunities, including paid time off for philanthropic endeavors.

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

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