Underwriting Manager

Aston Carter•Overland Park, KS

1d•$70,000 - $90,000•Hybrid

About The Position

Aston Carter is partnering with a client in the Kansas City metro area to hire a Medical Underwriting Manager. This leadership role is responsible for overseeing a team focused on small group medical underwriting while maintaining underwriting quality, operational efficiency, and exceptional service standards. The ideal candidate will bring a strong background in small group medical underwriting, database underwriting, and people leadership. This position offers the opportunity to influence underwriting strategy, drive process improvements, and develop a high-performing team, with future growth potential into a Director-level role.

Requirements

3+ years of small group medical underwriting experience.
Prior Underwriting Manager, Supervisor, or Team Lead experience with direct reports.
Database underwriting experience.
Experience underwriting groups ranging from 2-125 employees.
Strong understanding of medical underwriting principles, risk assessment, and rate development.
Experience reviewing and approving renewals, new business, and eligibility determinations.
Proven ability to make sound underwriting and risk decisions.
Advanced Microsoft Excel skills, including reporting and data analysis.
Strong communication and stakeholder management skills.

Nice To Haves

Experience within a health insurance carrier, TPA, or employee benefits organization.
Experience managing external or contract underwriters.
Process improvement and workflow optimization experience.
Ability to step into leadership responsibilities when needed.
Interest in long-term career growth into a Director-level position.

Responsibilities

Lead, coach, and develop a team of medical underwriters.
Manage daily underwriting operations for small group health insurance business.
Oversee new business, renewals, eligibility reviews, rescission reviews, and policy issuance.
Make final underwriting, risk, and rate determination decisions on complex cases.
Establish performance expectations, productivity goals, and quality standards.
Review underwriting reports, medical cost data, and renewal activity to support business decisions.
Partner with sales teams, agents, general agents, and program managers to ensure excellent service and communication.
Monitor underwriting accuracy, compliance, and consistency across the team.
Identify and implement process improvements to increase efficiency and effectiveness.
Maintain and update underwriting guidelines, procedures, and documentation.
Serve as Acting Director of Underwriting when needed.