Full-Time

Underwriter-Renewals

Posted on 3/14/2025

ParetoHealth

ParetoHealth

51-200 employees

Self-insured employee health benefits solutions

No salary listed

Mid

Salt Lake City, UT, USA

Category
Insurance
Finance & Banking
Required Skills
Data Analysis
Connection
Connection
Connection
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Requirements
  • Bachelor’s degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
  • Minimum of 2-3 years of experience in stoploss underwriting, with a proven history in handling complex health risks.
  • Proficiency in underwriting software, data analysis tools, and Microsoft Office Suite.
  • Exceptional ability to analyze data, identify trends, and solve underwriting challenges.
  • Excellent communication and negotiation skills, with the ability to articulate technical concepts to a non-technical audience.
  • Strong collaborator, capable of working effectively in a dynamic and collaborative environment.
  • Strong understanding of stoploss products/self-funding, healthcare industry trends, and regulatory landscape.
Responsibilities
  • Conduct thorough risk assessments of current Pareto Self-funded health plans and determine appropriate stoploss coverage levels and premiums.
  • Analyze healthcare data, including claims and utilization patterns, to forecast potential risks, cost implications, and appropriate support.
  • 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 incomplete information.
  • Understand competitive market dynamics and react appropriately.
  • Partner with account management to ensure appropriate pricing rationale is understood and messaged externally, while considering consultant / customer dynamics.
  • Enhance your own skills around knowledge of medical treatments and projected costs in partnership with the clinical risk team.
  • Ensure adherence to industry standards and legal requirements in all underwriting decisions and practices.

ParetoHealth offers employee health benefits solutions for small and medium-sized businesses through a self-insured model, allowing companies to set aside funds for health claims instead of paying insurance premiums. Their main product is the "benefits captive" program, where multiple companies share the financial risks of health claims, helping to manage costs effectively. ParetoHealth uses data-driven intelligence to monitor health plan usage and ensure employees receive appropriate care at competitive prices. The company's goal is to provide cost-effective health benefits while promoting diversity, equity, and inclusion in the workplace.

Company Size

51-200

Company Stage

Growth Equity (Venture Capital)

Total Funding

$522.1K

Headquarters

Philadelphia, Pennsylvania

Founded

2011

Simplify Jobs

Simplify's Take

What believers are saying

  • Warburg Pincus's investment provides capital for expansion and innovation.
  • Maeve O'Meara's appointment as CEO could drive technological growth.
  • Reaching 2,000 employers in the captive program shows strong market acceptance.

What critics are saying

  • Leadership transition may lead to strategic shifts or disruptions.
  • Private equity investment may pressure rapid growth and profitability.
  • Increased competition could impact ParetoHealth's market share.

What makes ParetoHealth unique

  • ParetoHealth offers a unique self-insured model for employee health benefits.
  • The company uses data-driven intelligence to manage and control claims costs.
  • ParetoHealth's benefits captive program mitigates financial risks for SMEs.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Disability Insurance

401(k) Company Match

401(k) Retirement Plan

Company News

Hit Consultant
Feb 4th, 2025
Paretohealth Appoints Maeve O’Meara As Chief Executive Officer

ParetoHealth Appoints Maeve O’Meara as Chief Executive Officer. by Healthcare Executive Hires 02/04/2025 Leave a Comment. Maeve O’Meara, CEO at ParetoHealthWhat You Should Know: â€“ ParetoHealth, a provider of innovative health benefits solutions for midsize employers, today announced the appointment of Maeve O’Meara as its new Chief Executive Officer.– O’Meara, who has served as ParetoHealth’s President since September 2023, succeeds co-founder Andrew Cavenagh, who will transition to the role of Executive Chairman. Maeve O’Meara Bio/BackgroundO’Meara brings over 20 years of experience in healthcare and technology leadership to her new role. She previously served as CEO of Castlight Health, where she spearheaded the company’s transformation into a market-leading navigation platform. Since joining ParetoHealth, O’Meara has focused on deepening consultant and member engagement, scaling technology and infrastructure, and strengthening the leadership team.“I’m honored to lead a team that has truly challenged the status quo in enabling midsize employers to offer more affordable health benefits,” said O’Meara. “It is a privilege to partner with our incredible consultant and employer community to continue to innovate and redefine what is possible.”

Pareto Health
Jan 7th, 2025
ParetoHealth Appoints Heather Underhill as Chief Customer Officer to Advance Customer Success Initiatives

ParetoHealth appoints Heather Underhill as Chief Customer Officer to advance customer success initiatives.

The Daily Review
Jun 26th, 2024
ParetoHealth Appoints Christine Lui Chen as Chief Marketing Officer for Next Chapter of Growth

PHILADELPHIA, PA / ACCESSWIRE / June 26, 2024 / ParetoHealth, the nation's largest and fastest-growing employer-owned health benefits solution, is pleased to announce the appointment of Christine Lui Chen as Chief Marketing Officer.

PressRelease.com
Sep 27th, 2023
ParetoHealth Names Maeve O'Meara as President

PHILADELPHIA, September 27, 2023 (Newswire.com) - ParetoHealth, the country's leading health insurance platform for small and medium-sized employers, announced today that it has named Maeve O'Meara as President.

LexBlog
Jun 24th, 2023
Healthcare & Life Sciences Private Equity Deal Tracker: Warburg Pincus Invests in ParetoHealth

Warburg Pincus has invested in ParetoHealth, according to a news release.

INACTIVE