Underwriter

About Us

At Sunset Healthcare Group, our mission is to provide accessible, reliable, and compassionate healthcare services that meet the evolving needs of our communities. We are dedicated to maintaining the highest standards of care while creating a respectful and inclusive workplace culture.

We are seeking a detail-oriented and analytical Underwriter to join our team. The Underwriter will be responsible for evaluating and assessing the risks associated with health and wellness insurance applications. This role is crucial in determining coverage eligibility, premium pricing, and policy conditions to ensure the sustainability and profitability of our health insurance products.The Underwriter serves as a key decision-maker in influencing the financial health of our organization while ensuring that appropriate coverage is provided to patients and healthcare providers. The successful candidate will collaborate closely with medical professionals and insurance teams to evaluate patient medical histories, treatment plans, and financial data to make informed decisions that benefit both the organization and its clients. Furthermore, underwriters must stay informed of current medical trends, regulatory changes, and emerging healthcare technologies to ensure that their evaluations are up-to-date and relevant. This is an excellent opportunity for those who are passionate about contributing to the healthcare industry while utilizing their analytical and decision-making skills to make a positive impact on patient outcomes and organizational success.

About the Job

• Review and analyze insurance applications from healthcare providers and patients.
• Evaluate medical histories, treatment plans, and risk factors to determine eligibility for coverage.
• Set terms and conditions for insurance policies based on comprehensive risk assessments.
• Collaborate with medical professionals and insurance teams to gather necessary information for underwriting decisions.
• Monitor changes in healthcare regulations and industry standards that may impact underwriting criteria.
• Prepare detailed reports and recommendations for insurance approvals or denials based on data analysis.
• Provide support and guidance to insurance sales teams regarding underwriting practices and policy adjustments.

Requirements

• Bachelor's degree in finance, business administration, healthcare management, or a related field.
• Proven experience in underwriting, preferably within the healthcare or insurance industry.
• Strong analytical and critical thinking skills with a keen attention to detail.
• Excellent communication and interpersonal skills for collaboration with diverse teams and stakeholders.
• Proficiency in data analysis tools and software relevant to underwriting processes.
• Understanding of medical terminology, procedures, and healthcare regulations.
• Ability to work independently as well as part of a team in a fast-paced environment.