Conduct medical risk assessments by analyzing clinical data, case management notes, and treatment plans to evaluate underwriting outcomes and financial exposure.
Partner strategically with underwriting teams to prioritize requests, apply evidence-based criteria, and advise on complex claims to influence underwriting decisions.
Manage relationships with internal clients, TPAs, and vendors, ensuring data integrity, accurate reporting, and clear communication of risk conclusions.
Evaluate and underwrite stop loss insurance for self-funded employer groups, analyzing claims data and plan designs.
Build and maintain relationships with brokers, consultants, TPAs, and clients, participating in presentations and renewals.
Monitor portfolio performance and contribute to process improvements and profitable growth initiatives.
Jencap is one of the largest wholesale insurance intermediaries in the United States, specializing in wholesale brokerage, binding authority, and program management. The company fosters a collaborative, driven team culture with a focus on growth and development.
Apply clinical expertise to assess mortality and morbidity risk, influence underwriting decisions, and shape risk management strategies.
Provide advanced medical knowledge, training, and case discussions for underwriters and claims examiners.
Stay current with medical literature, develop special interest subjects, and complete AAIM Diplomate Board of Insurance Medicine certification.
Securian Financial redefines the intersection of medicine and financial risk by integrating clinical expertise with insurance principles. As a Great Place to Work-Certified™ company for eight consecutive years, they foster a collaborative, inclusive culture where every voice matters.
Implement strategy to drive profitability, retention, and written premium goals of the Medical Business Unit.
Evaluate portfolio performance and oversee execution of continuous improvement aligned with division objectives.
Advise on underwriting rules, risk management, and compliance; establish data flows for monitoring results.
Crum & Forster provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. They have 3000 employees and are consistently recognized as a great place to work, earning multiple workplace and wellness awards.
Analyze, select, and classify life insurance applications of moderate complexity.
Evaluate medical and financial information to determine insurability and risk classification.
Collaborate with field partners and underwriting teams to deliver exceptional customer experience.
Nationwide is a Fortune 100 insurance and financial services company with nearly $70 billion in annual sales, dedicated to protecting people, businesses, and futures. They have a caring culture and have been named one of the Fortune 100 Best Companies To Work For.
Serve as a clinical subject matter expert supporting product and AI teams to evaluate new features for clinical safety and risk.
Conduct first-line clinical risk assessments across high-impact areas like documentation workflows and medication management.
Partner cross-functionally with product, engineering, regulatory, and clinical teams to guide safe innovation throughout the product lifecycle.
Our partner operates in healthcare technology, and we use an AI-powered matching process to connect candidates with roles. The environment is mission-driven and highly collaborative, focusing on improving outcomes across long-term and post-acute care settings.
Evaluate medical history, occupational hazard, and financial background to determine whether to accept, modify, or decline a risk.
Communicate underwriting decisions effectively both written and verbally, and champion process improvements.
Work independently with minimal direction in a fast-paced environment.
Ethos is a leading life insurance technology company on a mission to protect families by democratizing access to life insurance and empowering agents at scale. The company has a robust three-sided technology platform and a diverse, inclusive workplace culture.
Lead the development and refinement of clinical cost containment strategies, including vendor evaluation and claims data analysis.
Provide clinical oversight and sales support to broker/consultant partners, TPAs, and employer clients.
Monitor medical cost trends and regulatory changes to proactively advise clients and internal teams.
Strategic Benefit Resources (SBR) is a self-funded benefits consulting firm focused on providing clinical cost containment and stop-loss solutions to the wholesale distribution market. As part of HUB International, a leading global insurance broker, SBR offers a collaborative environment with extensive resources and expertise across North America.
Adjust the most complex, high-exposure allied health claims requiring advanced technical expertise.
Conduct coverage analysis, draft reservation of rights letters, and manage litigation.
Investigate facts, set reserves, and maintain clear communication with stakeholders.
Integrated Specialty Coverages is a growth stage technology and data-driven commercial MGA and insurance wholesaler. Backed by Onex Partners, the company fosters a collaborative environment and focuses on attracting top talent to achieve exponential growth.