The Renewal Underwriter will play an important role in supporting renewal pricing decisions by analyzing utilization, claims, benefits, demographics, and financial data. This position offers the opportunity to work in a collaborative environment with account teams, underwriting leadership, and internal departments focused on accuracy, profitability, and service excellence. Required Qualifications and Skills
Key Responsibilities
- Collect, validate, and analyze claims, utilization, benefits, demographic, and financial data for fully insured group renewals.
- Prepare claims projections, renewal analyses, and supporting documentation for review by senior team members or management.
- Apply established underwriting methodologies and actuarial factors to support renewal rate recommendations.
- Evaluate the impact of plan design changes, including copayments, deductibles, and coinsurance, on expected utilization and claims costs.
- Review claims experience, utilization trends, and renewal history to identify variations that may affect account performance.
- Collaborate with Account Executives and internal departments by providing renewal-related analysis and responding to data requests.
Compensation and Benefits
- Compensation: $55,000 to $65,000 per year.
- Job Type: Direct hire.
- Location: San Juan, PR.
- 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 analytical skills with the ability to interpret claims experience, utilization patterns, and financial data.
- Experience working with databases, reporting tools, and quantitative analysis.
- Ability to evaluate health plan design elements such as copayments, deductibles, coinsurance, and their impact on expected claims costs.
- Intermediate to advanced English proficiency.
- Strong attention to detail, documentation skills, and ability to collaborate with account teams and internal departments.
Preferred Qualifications
- Experience in the health insurance industry.
- Experience with renewal underwriting for fully insured group accounts.
- Familiarity with insurance systems used to extract and maintain claims, pricing, and renewal data.
- Strong proficiency with reporting tools, spreadsheets, and data analysis processes.
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
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.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
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.