Director of Underwriting

National Healthcare Solutions Group LLCDallas, TX

About The Position

The Director of Underwriting leads the underwriting function and serves as a senior subject‑matter expert on complex risk evaluation, pricing strategy, and portfolio performance. This role is responsible for the development, execution, and continuous improvement of underwriting strategies, guidelines, and processes that support the organization’s long‑term stability and growth. The Director partners closely with the SVP of Underwriting & MGU Operations to strengthen governance, modernize underwriting operations, and support enterprise‑level initiatives that enhance DRM’s competitiveness, credibility, and operational discipline. This role also collaborates cross‑functionally with actuarial, claims, finance, sales, and external carrier and reinsurer partners to ensure underwriting outcomes align with organizational goals. The Director contributes to strategic initiatives that improve block performance, enhance reporting, support product evolution, and reinforce DRM’s market position.

Requirements

  • Bachelor’s degree in Business, Finance, Insurance, or related field required;advanced degree preferred.
  • Minimum of 7 years underwriting experience with complex risks and high‑value accounts.
  • Strong analytical, financial, and decision‑making skills.
  • In‑depth knowledge of underwriting principles, risk assessment, insurance products, and regulatory requirements.
  • Proficiency in underwriting systems, data analysis tools, and Microsoft Office Suite.
  • Leadership experienceincludingmentoring or managing underwriting staff.

Nice To Haves

  • Experience developing or maintaining underwriting guidelinesstronglypreferred.
  • Professional designations (CPCU, ARM, etc.) preferred.

Responsibilities

  • Evaluate and underwrite traditional and level‑funded stop‑loss products in accordance with established guidelines, policies, and authority levels.
  • Assess and analyze complex risk profiles, client demographics, plan documents, and experience to determine appropriate coverage structures, pricing, and premiums.
  • Ensure underwriting decisions align with company risk appetite, guidelines, and regulatory requirements.
  • Contribute to portfolio performance by analyzing client experience, identifying trends, and supporting corrective action strategies.
  • Support underwriting components of product development and refinement, including level‑funded and emerging product opportunities.
  • Mentor, train, and develop junior underwriters to strengthen underwriting judgment, consistency, and capability.
  • Establish structured training programs, authority levels, and progression paths for underwriting staff.
  • Provide day‑to‑day guidance, coaching, and oversight to ensure accuracy, timeliness, and adherence to guidelines.
  • Support a collaborative, accountable, and high‑performance underwriting culture.
  • Lead the creation, maintenance, and enforcement of underwriting guidelines, policies, and procedures.
  • Conduct or support audit cycles, evaluate adherence to guidelines, and implement corrective actions as needed.
  • Partner with actuarial and leadership to refine guidelines based on performance, market trends, and audit findings.
  • Ensure compliance with all applicable federal, state, and industry regulations, as well as internal policies.
  • Support analysis and corrective action planning for underperforming segments, including level‑funded business.
  • Collaborate with actuarial to develop proactive reporting, dashboards, and performance metrics.
  • Identify emerging trends, cost drivers, and opportunities to improve profitability and operational consistency.
  • Contribute to strategies that strengthen reinsurer confidence and support capacity restoration.
  • Partner with reinsurers and carriers to support underwriting alignment, guideline adherence, and facultative review processes.
  • Provide underwriting expertise during reinsurer discussions, audits, and capacity evaluations.
  • Support distribution by delivering consistent, timely, and credible underwriting decisions that strengthen broker relationships.
  • Participate in client and producer meetings to communicate underwriting rationale and strategy.
  • Collaborate with actuarial, claims, finance, sales, and operations to ensure comprehensive risk assessment and pricing accuracy.
  • Support enterprise‑level initiatives that enhance DRM’s long‑termstability and growth, operational discipline, and competitive positioning.
  • Partner with leadership to re‑envision underwriting processes, product strategy, and workflow modernization.
  • Serve as a trusted advisor to the SVP of Underwriting & MGU Operations on underwriting, product, and portfolio strategy.
  • Utilize digital tools, data analytics, and reporting platforms to enhance underwriting accuracy and decision‑making.
  • Support modernization of underwriting workflows, documentation standards, and operational efficiency.
  • Provide feedback on underwriting systems, participate in testing, and support continuous improvement initiatives.
  • Build and maintain relationships with brokers, TPAs, agents, and stop‑loss carriers to support profitable business growth.
  • Provide underwriting expertise for new and expanding client opportunities.
  • Participate in client meetings and support sales efforts with clear, strategic underwriting insights.
  • May perform other duties as assigned.
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