Underwriting Program Manager

This influential leadership position offers a unique opportunity to work with an expanding team of high-quality leaders, in an entrepreneurial environment, with the benefits of a smaller organization but the security, stability and opportunity of a large company. The Underwriting Program Manager is responsible for managing the pricing for a specific program’s block of stop loss business, and ensuring all Underwriters working on that program are contributing positively to the top and bottom line results.

They will partner with their assigned program management team and sales team to help significantly grow the top line while ensuring we meet our target loss ratio, and meet target persistency.

• Assess the information provided to develop sound Specific and Aggregate Stop Loss pricing recommendations for both prospective and inforce Employer Stop Loss accounts within the set Underwriting Guidelines.
• Ability to screen large claims data prior to sending for nurse review.
• Develop strategic relationships with sales and underwriters, brokers, third-party administrators (TPAs) and other external and internal partners.
• Consult clients on plan designs and stop loss coverage.
• Actively participate in the sales process by working with the sales team to formulate successful strategy.
• Makes independent decisions within underwriting letter of authority and maintains proper file documentation.
• Assesses submissions and scenarios that exceed or fall outside underwriting authority or established guidelines, developing clearly articulated exception recommendations for executive‑level review. Provides detailed justification, risk analysis, and strategic context to support leadership decisions
• Approves or Declines, and provides alternate suggestions to the other Underwriters working on the team.
• Manages assigned workload to meet productivity and timely service.
• Manages the workload and makes sure work is evenly distributed to all Underwriters work on that specific program.
• Ability to identify drivers of medical expenses in new and renewal cases.
• Provide feedback to Senior Management to develop Underwriting policies and procedures as necessary.
• Coaches and mentors underwriting staff to strengthen technical skills, risk assessment capabilities, and strategic decision‑making. Develops team members through structured feedback and training to achieve consistently high performance and service excellence
• Coordinates with Administration to provide documentation in compliance with Underwriting policies and procedures for Audit.
• Maintain profitable block according to department goals.

• Knowledge and understanding of healthcare payers, health plan administration, and medical service providers.
• Advanced Knowledge of Medical Underwriting practices and principles.
• Possesses strong communication and problem solving skills.
• Advanced risk management and math skills.
• Excellent organizational and time management skills.
• Strong interpersonal skills necessary to interact with sales, brokers, producers and clients.
• Strong verbal and written communication skills.
• Flexible and open to an ever changing, fast paced environment.
• Exceptional attention to detail.
• Ability to multi-task with an emphasis on quality and customer service.

• Bachelor’s Degree from an accredited institution or equivalent work experience.
• Minimum of 10 years of experience in medical stop loss underwriting.
• 3 or more years of previous experience managing teams is strongly preferred