We are seeking a detail-oriented Group Underwriter for a direct opportunity in San Juan, PR within the health insurance industry. This role is ideal for a candidate with strong analytical skills, health insurance knowledge, and experience working with claims, utilization, benefits, demographic, and financial data. Required Qualifications and Skills
In this position, you will support the renewal process for fully insured group health and life insurance accounts by preparing claims projections, reviewing utilization trends, and developing data-driven analyses that help guide rate recommendations and business decisions. The role offers the opportunity to work in a collaborative, professional environment with supportive leadership, cross-functional teamwork, and exposure to healthcare insurance operations, pricing, renewals, and client support processes.
Key Responsibilities
- Collect, validate, and analyze claims, utilization, benefits, demographic, and financial data for fully insured group account renewals.
- Extract, maintain, and organize data from internal systems to support pricing analysis, claims projections, and renewal evaluations.
- Apply established methodologies and actuarial factors to assist with renewal rate analyses and claims cost projections.
- Evaluate plan design changes, including copayments, deductibles, and coinsurance, and assess their impact on utilization and claims costs.
- Review claims experience, utilization patterns, and renewal history to identify trends, variations, and account performance factors.
- Collaborate with Account Executives and internal departments by providing renewal-related analysis and responding to information requests.
- Bachelor's degree in Business Administration with a concentration in Statistics, Finance, Quantitative Methods, Mathematics, Economics, or a related field.
- Minimum of two years of experience in data analysis, health insurance underwriting, pricing, financial analysis, or renewals of fully insured group accounts.
- Strong ability to collect, validate, interpret, and present quantitative data accurately.
- Experience working with claims, utilization, benefits, demographic, or financial data.
- Proficiency with databases, reporting tools, spreadsheets, and analytical methods.
- Intermediate to advanced English proficiency.
- Strong attention to detail, organization, problem-solving ability, and follow-through.
- Ability to collaborate effectively with internal teams and manage information requests in a timely, professional manner.
Preferred Qualifications
- Experience in the health insurance industry.
- Experience supporting group account renewals, pricing, underwriting, or claims projection processes.
- Familiarity with healthcare plan design concepts, including copayments, deductibles, coinsurance, utilization trends, and claims cost drivers.
- Strong analytical mindset with the ability to identify trends and communicate findings clearly.
Equal Opportunity Employer / Disabled / Protected Veterans
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For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
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We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.