Senior Underwriter
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Job Location:
San Antonio, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
11 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Description
Senior Underwriter Stop Loss Insurance Programs
Job Summary
Seeking a highly skilled and experienced Senior Underwriter to join a team in a hybrid work environment. The ideal candidate will be responsible for underwriting pricing and managing stop loss insurance programs with a primary focus on level-funded stop-loss arrangements and traditional specific and aggregate stop-loss policies. This role offers a unique opportunity to manage and grow an established stop loss MGU and its book of business reporting directly to the Chief Actuarial Officer. The Senior Underwriter will play a critical role in ensuring disciplined risk management accurate policy administration and efficient claims and financial oversight.
Compensation Package
- Salary: $130000 - $150000 (commensurate with experience)
- Bonus Structure: Competitive and aligned with experience
- Work Environment: Hybrid (combination of remote and in-office work)
Responsibilities
Underwriting & Pricing
- Evaluate and price level-funded stop loss programs including specific and aggregate coverage components.
- Underwrite traditional stop loss policies across a range of employer sizes.
- Analyze census data plan designs claims experience large claimant disclosures and risk factors.
- Develop and document underwriting rationale in alignment with carrier guidelines and MGU authority.
- Present recommendations to stakeholders when required by authority thresholds.
- Manage new business quotes renewals and mid-year plan changes.
- Monitor block performance and adjust pricing strategies as needed.
Portfolio & Risk Management
- Assess TPA administrative models to identify adverse selection risks and favorable opportunities.
- Track loss ratios and emerging claim trends within the MGU block.
- Conduct quarterly renewal projections and profitability analyses.
- Maintain underwriting discipline in alignment with reinsurance and carrier agreements.
Policy Administration
- Oversee policy issuance amendments and contract documentation.
- Ensure compliance with carrier agreements and regulatory requirements.
- Maintain accurate policy and risk records within underwriting systems.
Claims Oversight
- Review and process stop loss claims in accordance with policy provisions.
- Interpret contract language to determine claim eligibility.
- Collaborate with TPA on large claim reviews and reimbursement timing.
- Monitor large claimant activity and update underwriting forecasts accordingly.
- Ensure accurate and timely reimbursement processing.
Accounting & Financial Oversight
- Reconcile premium billing and remittance reporting.
- Coordinate premium accounting with TPA.
- Support financial reporting for MGU leadership and stakeholders.
Partner Relations
- Serve as a subject matter expert for internal and external stakeholders.
- Build and maintain strong relationships with TPA and reinsurance partners.
- Support business development initiatives as appropriate.
Qualifications/Requirements
- Experience: 7 years of stop loss underwriting experience (level-funded experience required).
- Technical Expertise: Proficiency in underwriting both specific and aggregate stop loss coverage.
- Knowledge Base: Strong understanding of self-funded medical plan structures TPA administration and stop loss contract provisions (e.g. 12/12 15/12 24/12 contracts aggregating factors terminal liability).
- Analytical Skills: Strong financial acumen with the ability to interpret loss ratio trends.
- Technical Proficiency: Advanced skills in Excel and underwriting analytics tools.
- Communication: Excellent written and verbal communication skills.
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Required Experience:
Senior IC
Key Skills
- Loan Processing
- Credit Analysis
- Fraud
- Math
- Risk Analysis
- Pricing
- Analysis Skills
- Fair Housing Regulations
- Equity Research
- Underwriting
- negotiation
- RMF
About Company
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