AVP of Underwriting - American Health Solutions

Be Here. Be Great.

Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Great American Employer Health Solutions focuses on the group health market, offering solutions that include medical stop loss and level-funded plans. The division works with customers and business partners to help employers manage healthcare costs while addressing the financial risks associated with employee health benefit programs. By combining specialized underwriting expertise, responsive service, and disciplined risk management, the team supports sustainable growth and long-term customer relationships.

Great American Employer Health Solutions is hiring an Assistant Vice President of Underwriting to join its leadership team. This position leads underwriting operations and strategy, with responsibility for developing a high-performing team, enhancing underwriting practices, and supporting profitable growth across the medical stop loss and level-funded business. The Assistant Vice President will balance risk selection, pricing, customer needs, and portfolio performance while building strong relationships with internal and external stakeholders.

This is an opportunity for an experienced underwriting leader to help shape strategy and contribute to the continued growth of an established organization. This is a fully remote position with expectations of travel.

• Lead underwriting team operations, optimize workflows, and maintain high standards for productivity, quality, and service.
• Develop and implement underwriting strategies that align with division goals, growth objectives, and financial targets.
• Evaluate the quality, volume, and performance of underwritten risks and communicate findings through clear, actionable reporting.
• Make sound business decisions that balance risk selection, premium adequacy, and loss ratio performance.
• Cultivate strategic relationships with internal partners, customers, brokers, and other external stakeholders to support profitable growth.
• Establish clear expectations, provide coaching, and develop underwriting talent to strengthen team performance and succession readiness.
• Ensure underwriting decisions are thoroughly documented and comply with applicable state and federal insurance requirements.
• Lead the assessment of renewals and policy modifications, identifying opportunities to improve performance and mitigate risk.
• Oversee the delivery of exceptional customer service and implement improvements based on service levels, operational activity, and customer experience.
• Maintain and enhance underwriting guidelines, rules, rating methodologies, and procedures in response to business needs and regulatory changes.
• Collaborate across functions to improve underwriting processes, strengthen portfolio management, and advance division initiatives.
• Perform other duties as assigned.

• Bachelor’s degree in business, economics, risk management and insurance, or a…