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Medical Stop Loss Underwriting Practice Lead, Accident & Health

Job in New York, New York County, New York, 10261, USA
Listing for: AIG
Full Time position
Listed on 2026-08-20
Job specializations:
  • Insurance
    Underwriter, Risk Manager/Analyst
Salary/Wage Range or Industry Benchmark: 118000 - 178000 USD Yearly USD 118000.00 178000.00 YEAR
Job Description & How to Apply Below
Location: New York

Medical Stop Loss Underwriting Practice Lead - Accident & Health

Who we are:

American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial services to customers in more than 80 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets, manage risks and provide for retirement security.

Get

to know the business:

AIG underwriting teams help to find insurance solutions in areas including Financial Lines, Property, Casualty, Specialty Lines, Cyber, Multinational Clients, and High Net Worth individuals. We are reimagining how we help customers to manage risk, transforming our operating model, and reshaping our role responsibilities and career pathways. The goal is to unlock the full potential in each colleague - empowering our people to grow as insurance professionals and add more value to our customers and AIG.

The Medical Stop Loss Underwriting Practice Lead is responsible for evaluating, pricing, and managing risk on employer group stop-loss business. This role requires advanced technical expertise in underwriting Specific and Aggregate Stop Loss plans for self-funded medical plans and a strong understanding of risk factors, industry trends, and broker/client expectations.

How you will create an impact:
Financial / Business Development
  • Responsible for achievement of top and bottom-line results for new and renewal business.
  • Deliver on underwriting profit results with focus on profitability, loss ratio and combined ratio.
  • Develop, maintain and grow relationships with external business partners to drive healthy organic growth of business.
  • Collaborate and cross-sell with other internal stakeholders and lines of business within AIG.
Key Responsibilities
  • Management and Oversight of Program Managers with Delegated Underwriting Authority
  • Creation of Underwriting Guidelines and oversight / audit of adherence to those guidelines
  • Timely handling of Case referrals
  • Develop and maintain alignment of partnership expectations.
  • Analyze group medical claims data, demographics, and plan designs to assess risk and determine appropriate stop-loss premiums and terms.
  • Collaborate with distribution and actuarial teams on complex case evaluations, renewals, and new business opportunities.
  • Develop and maintain strong relationships with brokers, consultants, and third-party administrators (TPAs).
  • Present underwriting rationale and recommendations to internal stakeholders with clarity and confidence.
  • Ensure compliance with underwriting guidelines, regulatory requirements, and company risk tolerance.
  • Recommend modifications to underwriting practices and tools based on emerging market trends and experience.
  • Mentor and train junior underwriters, sharing technical expertise and best practices.
  • Support development of new products, pricing strategies, and process improvements to enhance competitiveness.
What you will need to succeed
  • Bachelor's degree or higher and / or equivalent experience.
  • Minimum 7+ years of medical stop-loss underwriting experience; strong background in both specific and aggregate coverage.
  • Knowledge and understanding of healthcare payers, health plan administration, and medical service providers.
  • Advanced Knowledge of Medical Underwriting practices and principles.
  • Excellent analytical, mathematical, and communication skills.
  • Ability to manage multiple priorities and make sound underwriting decisions in a fast-paced environment.
  • Demonstrated ability to build broker and TPA relationships and support business growth initiatives.
  • Demonstrated ability to develop and execute strategies to grow profitability and production growth.
  • Strong customer service ethic, with a sound understanding of the business processes.
  • Self-motivated and able to set strategic direction.
  • Able to work in a team to lead and contribute so that AIG meets its strategic goals.
  • Knowledge of state regulatory and compliance requirements.
  • Ability to multi-task and handle divisional objectives as requested and handles multiple priorities often under tight deadlines.
  • Strong sense of responsibility for one's actions and work.
Preferred Attributes
  • Strong knowledge of ERISA plans, self-funding structures, and cost containment programs.
  • A cost containment background, such as utilization review or managed care is helpful
  • Experience as an RN Medical Case Manager is ideal
  • Collaborative and strategic mindset with attention to detail and accuracy

For positions based in NYC, NY, the base salary range for this position is $118,000-$178,000, for positions based in New Jersey, the base salary range for this position is $126,000-$171,000, for positions based in Illinois the base salary range for this position is $125,000-$173,000, and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan.

In…

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