Underwriting Data Analyst - Medical Stoploss Job at ParetoHealth in Philadelphia
ParetoHealth, Philadelphia, PA, US
Job Description
We're in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits.
The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions.
But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come.
Stop Loss Underwriting Data Analyst (Hybrid – Philadelphia)
Applicants must be authorized to work in the US without sponsorship, indefinitely.
Are you ready to make an impact in the healthcare and insurance industries with a role that combines analytical expertise, collaboration, and innovative problem-solving? At ParetoHealth, we're reimagining how businesses approach employee benefits, and we're looking for a Stop Loss Underwriting Data Analyst to join our team.
This hybrid role (2-3 days per week in our Philadelphia office) offers the opportunity to drive key decision-making processes in stop-loss underwriting while contributing to a growing, dynamic organization.
Your Role: What You'll DoData Analysis & Reporting
- Collect, organize, and analyze large datasets related to stop-loss insurance, including claims, premium payments, and policy details.
- Use advanced tools like Excel, SQL, and Tableau to identify trends, risks, and areas for operational improvement.
- Create reports and data visualizations that guide underwriting decisions and pricing strategies.
- Track performance metrics for stop-loss policies and recommend improvements based on data-driven insights.
Underwriting & Carrier Collaboration
- Partner with underwriting and carrier teams to provide actionable insights for evaluating stop-loss applications.
- Support the development of pricing models and contribute to risk assessments through data analysis.
- Conduct experience-rated and prospect-rated analyses to inform pricing recommendations.
Trend Identification & Efficiency Improvements
- Identify trends, anomalies, and risk factors from claims and underwriting data.
- Provide strategic insights to refine pricing and risk assessment approaches.
- Analyze operational workflows and recommend process improvements for increased efficiency in underwriting operations.
Communication & Team Collaboration
- Work closely with underwriting, carrier partners, actuarial, and claims teams to validate data and deliver meaningful insights.
- Present findings and recommendations to stakeholders, including underwriters and senior management.
- Contribute to the development of new tools and processes to enhance the underwriting process.
- 2-5 years of experience in data analysis or an underwriting support role, with a focus on stop-loss health claims and in the employee benefits space
- Proficiency in Tableau, SQL, and Excel for data analysis and visualization.
- Strong understanding of stop-loss underwriting principles and the self-funded health insurance industry.
- Bachelor's degree in mathematics, Statistics, Economics, Finance, Data Science, or a related field (advanced degrees are a plus).
- Exceptional analytical and problem-solving skills, with a keen eye for detail.
- Strong organizational skills with the ability to manage multiple projects simultaneously.
If you're a data-driven professional with experience in stop-loss claims and a passion for transforming insights into action, we'd love to meet you. Apply today to become part of the ParetoHealth team and help us redefine the future of employee benefits.
Pareto Perks:
Pareto offers a competitive compensation package commensurate with skills and experience. In addition, Pareto offers a robust benefits package including Medical (100% employer paid), Dental, Vision, STD/LTD, and employer 401(k) contribution.
What We Live By:
1. Get it Done and Get it Done Right – We crank out work at higher rates and at a higher quality than our peers in the industry. Our ability to do a lot with a little is a driving force behind Pareto Health, one that's made our brand synonymous with class, quality, and extreme competence.
2. Fire in the Belly - We only make time for champions; we only consider those with an inner desire to excel and push things forward. Our team, our partners, our members–everyone in the Pareto Health universe–works hard, learns constantly, improves furiously, and does so with a fire in the belly.
3. See the Field - As you're stuck thinking about tomorrow, we're already on to thinking about next year. Pareto Health embodies a culture of anticipation, perception, and acting with intent. In one-on-ones, in meetings, at a company level, and at an industry level, we're always two steps ahead.
4. For the Greater Good - Our vision extends past the here and now. We're rowing in the same direction toward the common goal of transforming an industry. It's our accountability, teamwork, and responsibility that ensure as we're changing industry tides, we're helping them rise. Now watch as we lift all boats in the process.
Disclosures:
ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.
California Applicants: See Pareto's CCPA Notice of Collection for California Employees and Applicants for information about how Pareto Captive Services, LLC, Pareto Health, LLC, and Pareto Underwriting Partners, LLC, together with their respective subsidiaries (collectively, "Pareto") collects and uses personal information submitted by employment applicants.