Medical Stop Loss Underwriter

Novacore•Conshohocken, PA

About The Position

The Medical Stop-Loss Underwriter is a pivotal team member responsible for managing and underwriting a self-created portfolio of medical stop-loss products. This role involves detailed risk assessment, developing pricing strategies, and providing technical guidance to other underwriters. The ideal candidate will bring a strong analytical background and a strategic approach to risk management, with an in-depth understanding of self-insurance and stop-loss policies. Possibility of some active distribution sources may be directed to the Senior Medical Stop-Loss Underwriter. Someone in this position must develop distribution sources and foster a dynamic relationship with those opportunities. Carbon Stop Loss Solutions is a leading managing general underwriter (MGU) in the field of employer stop loss and managed care insurance. Carbon’s team of experts are known as the industry leader in delivering best-in-class risk solutions to effectively lower healthcare costs. Carbon’s offerings support clients and brokers in a rapidly changing healthcare market with best-in-class service, underwriting, claims support and effective cost containment strategies. Carbon Stop Loss Solutions makes up Novacore’s Healthcare Segment. At Novacore, we’re entering an exciting new chapter. Novacore is the newly formed specialty insurance entity created from the April 2025 sale of NSM Insurance Group’s U.S. commercial division. We’re building something bold and meaningful, and every team member plays a vital role in that mission.

Requirements

Minimum 2 years of direct experience in medical stop-loss underwriting, with a proven track record of managing complex accounts.
Deep understanding of self-funded health plans, TPA’s, and experience in Broker community.
Strong proficiency in Microsoft Office Suite.
Exceptional negotiation and interpersonal skills to interact effectively with brokers, clients, and internal teams.
Ability to effectively communicate, justify and document underwriting decisions to management and risk partners.
The underwriter must demonstrate sound reasoning and a comprehensive ability to assess both the major drivers of risk and the more subtle aspects that might not be immediately apparent in the facts and circumstances of a case.
Regular communication with clients and colleagues, via email, zoom, in-person, etc.
Participate in planning for individual annual goals and quarterly reviews of the division and individual’s own benchmarks.

Nice To Haves

Established producer relationships and an existing book of business is a plus but not required.
David Young system is strongly preferred.

Responsibilities

Evaluate and underwrite medical stop-loss insurance RFP’s, utilizing historical claims data and underwriting software tools to determine risk and set premiums.
Perform thorough analysis of variables such as employer size, demographics, health care utilization, and insurance needs.
Ensure compliance with state regulations, adhere to all underwriting requirements both internal and as set by carriers.
Conduct financial analysis of employers to gauge the ability to meet obligations under a self-funded plan.
Engage with brokers and clients to gather additional information, explain risk decisions, and foster strong business relationships.
Monitor portfolio performance, identify trends, and recommend adjustments to underwriting practices as necessary.
Mentor and train Junior Underwriters and Underwriting Assistants, promoting a culture of continuous learning and quality improvement.
Participate in product development initiatives to introduce innovative stop-loss solutions in the market.