Leading Edge Administrators
51 - 200 employees
Founded 2010
⚕️ Healthcare Insurance
📋 Compliance
Healthcare Insurance • Compliance
Leading Edge Administrators is an independent third-party administrator specializing in healthcare services. The company is committed to improving the medical benefit landscape with innovative programs and strategies that enhance outcomes while reducing costs. LEA focuses on providing efficient, effective, and easy-to-implement health benefit solutions tailored to meet their clients' specific needs. Key services include self-funded health benefit plans, wage parity, and FlexCard benefits, aiming to achieve optimal results for employers, employees, and providers. With a mission centered around claims integrity, ACA compliance, and operational transparency, Leading Edge Administrators positions itself as a key player in the healthcare administration sector.
Senior Underwriter – Health Insurance
Job not on LinkedIn
🔥 0 minutes ago
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
Leading Edge Administrators
51 - 200 employees
Founded 2010
⚕️ Healthcare Insurance
📋 Compliance
Healthcare Insurance • Compliance
Leading Edge Administrators is an independent third-party administrator specializing in healthcare services. The company is committed to improving the medical benefit landscape with innovative programs and strategies that enhance outcomes while reducing costs. LEA focuses on providing efficient, effective, and easy-to-implement health benefit solutions tailored to meet their clients' specific needs. Key services include self-funded health benefit plans, wage parity, and FlexCard benefits, aiming to achieve optimal results for employers, employees, and providers. With a mission centered around claims integrity, ACA compliance, and operational transparency, Leading Edge Administrators positions itself as a key player in the healthcare administration sector.
📋 Description
• Lead and oversee all underwriting activities for ASO and self-funded health plan clients, including new business, renewals, and existing account performance • Advise and mentor junior underwriters as a senior resource / SME, offering day-to-day guidance and technical support to foster professional development and underwriting consistency • Evaluate new business and renewal opportunities for ASO and self-funded employer groups • Analyze medical, pharmacy, and ancillary claims experience, utilization trends, and demographic data • Develop financial projections, renewal recommendations, and ASO fee pricing • Assess risk and recommend appropriate specific and aggregate stop-loss coverage levels • Coordinate with stop-loss carriers to obtain quotes, negotiate terms, and manage underwriting requirements • Review large claimant activity and emerging risk trends to support accurate pricing decisions • Prepare underwriting reports, proposals, and financial analyses for clients and internal stakeholders • Collaborate with sales and account management teams to support RFP responses, client presentations, and finalist meetings • Monitor account performance and recommend pricing, funding, or plan design adjustments as needed • Maintain underwriting documentation and ensure compliance with company policies and underwriting guidelines • Ensure compliance with state and federal regulations, including healthcare legislation changes by maintaining up-to-date knowledge of regulatory changes • Develop underwriting reports, forecasts, and presentations.
🎯 Requirements
• Bachelor's degree in Business, Finance, Mathematics, Actuarial Science, Healthcare Administration, or a related field • 5+ years of underwriting experience in underwriting of self-funded health plans, ASO administration, employee benefits, or stop-loss insurance • Strong knowledge of medical and pharmacy claims analysis, healthcare funding arrangements, and stop-loss underwriting principles • Advanced proficiency in Microsoft Excel and financial modeling tools
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off
Apply Now
