Medical Underwriter

About This Role

Medical Underwriter - Health Insurance Pricing

The Medical Underwriter is responsible for evaluating medical risk, developing accurate pricing recommendations, and ensuring the sustainability and competitiveness of health insurance portfolios.

Key Responsibilities:

Underwriting & Risk Assessment:

• Assess medical risk for both group and individual policies based on claims experience, demographics, and benefit design.
• Review clinical information, claims trends, and high-cost claim drivers.
• Translate underwriting assessments into clear, commercially focused recommendations.

Pricing & Financial Analysis:

• Develop and validate pricing recommendations.
• Conduct claims trend analysis, including frequency, severity, and large-loss volatility.
• Build and refine pricing assumptions (e.g. inflation, credibility, pooling, and utilisation forecasts).
• Model the impact of benefit changes and perform scenario analysis.

Data & Modelling:

• Analyse detailed claims datasets to identify key cost drivers.
• Support the development of internal pricing tools and forecasting models.
• Review and challenge insurer pricing assumptions.

Market Engagement & Negotiation Support:

• Collaborate with insurers to clarify underwriting decisions.
• Support renewal negotiations through data-driven insights.

Reporting & Presentation:

• Prepare underwriting summaries for tenders and renewals.
• Present pricing outcomes and key risk insights to stakeholders.

Key Requirements:

• Bachelor's degree in Business, Finance, Insurance or a related field.
• Minimum 5–8 years of insurance experience as medical underwriting or health insurance pricing.
• Experience with group medical schemes and market benchmarking.
• Strong technical knowledge of medical underwriting and health insurance pricing.
• Advanced analytical capability including actuarial/statistical modelling.
• Ability to interpret complex claims data.
• Strong communication skills.
• High attention to detail.
• Ability to work under pressure during renewal cycles.

What do we offer in return?

A career that you define, supported by a strong commitment to technical and soft skills training.

We offer a comprehensive package of rewards and benefits - including great medical insurance, competitive salary, and more.

We provide a workplace where everyone has a voice, where volunteering in the community is part of the day job, and where everyone is encouraged to play a part towards our sustainability goals. We want people who want to make a difference - not just in the workplace, but in the industry and in the wider community.

Our Culture: People First

Our core values dictate how we live and work. We are a group with independence and people at its heart and we are a home for talent with a unique culture: the biggest small company in the world.

The focus on being a People First business has always been at the very heart of the Group; Our vision was to create an independent business with a unique culture and one that would survive and thrive as a business controlled by the people working for it. And finding the most talented and entrepreneurial people to join the Group has been and will continue to be key.

Diversity & Inclusion

At HOWDEN we consider our people our chief competitive advantage and as such we treat colleagues, candidates, clients, and business partners with equality, fairness and respect, regardless of their age, disability, race, religion or belief, gender, marital status or family circumstances.