AVP of Underwriting - Great American Employer Health Solutions

Great American Insurance Group•WI Work at Home, WI
•$150,000 - $180,000•Remote

About The Position

Great American Employer Health Solutions is seeking an Assistant Vice President of Underwriting to lead underwriting operations and strategy for its medical stop loss and level-funded business. The role is responsible for developing a high-performing underwriting team, enhancing underwriting practices, and supporting profitable growth. The successful candidate will balance risk selection, pricing, customer needs, and portfolio performance while building relationships with internal and external stakeholders. This is a fully remote leadership position with expectations of travel. Great American Employer Health Solutions serves the group health market with medical stop loss and level-funded plans. Its team combines specialized underwriting expertise, responsive service, and disciplined risk management to help employers manage healthcare costs and financial risks related to employee health benefit programs. The position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without current or future sponsorship.

Requirements

  • Bachelor’s degree in business, economics, risk management and insurance, or a related field, or equivalent relevant experience.
  • Generally, at least 13 years of underwriting or related experience, including at least six years of leadership experience.
  • Ability to lead underwriting operations, develop talent, and translate business objectives into effective underwriting strategies.
  • Strong knowledge of risk evaluation, pricing, portfolio performance, and regulatory compliance.
  • Strong analytical, decision-making, communication, and relationship-management skills.
  • Must be authorized to work in the United States without current or future employment visa sponsorship.

Nice To Haves

  • Experience in group health, medical stop loss, level-funded plans, or a closely related market.
  • Completion of, or continued progress toward, a relevant professional designation.

Responsibilities

  • Lead underwriting team operations, optimize workflows, and maintain productivity, quality, and service standards.
  • Develop and implement underwriting strategies aligned with division goals, growth objectives, and financial targets.
  • Evaluate the quality, volume, and performance of underwritten risks and report findings clearly with actionable recommendations.
  • Make business decisions that balance risk selection, premium adequacy, and loss ratio performance.
  • Build strategic relationships with internal partners, customers, brokers, and other external stakeholders to support profitable growth.
  • Set expectations, coach employees, and develop underwriting talent and succession readiness.
  • Ensure underwriting decisions are documented and comply with applicable state and federal insurance requirements.
  • Lead assessments of renewals and policy modifications, identifying opportunities to improve performance and mitigate risk.
  • Oversee customer service delivery and improve service 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.

Benefits

  • Medical, dental, and vision coverage for full-time employees.
  • Wellness plans.
  • Parental leave.
  • Adoption assistance.
  • Tuition reimbursement.
  • Paid Time Off for full-time and eligible part-time employees.
  • Paid holidays for full-time and eligible part-time employees.
  • 401(k) plan with company match for full-time and eligible part-time employees.
  • Employee stock purchase plan for full-time and eligible part-time employees.
  • Commuter benefits for full-time and eligible part-time employees.
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