Senior Stop Loss Underwriter

Acrisure•Las Vegas, NV

1d•Remote

About The Position

The Senior Stop Loss Underwriter evaluates, prices, and manages risk for employer-sponsored self-funded health plans. The role underwrites new business and renewals, assesses specific and aggregate exposure, and supports profitability while maintaining competitive market positioning. The underwriter collaborates with sales, clinical, policy, and claims teams to make sound decisions aligned with company guidelines and financial objectives. The position also provides guidance and mentorship to junior underwriters, contributes to underwriting best practices and process improvements, and serves as a subject matter expert on complex or high-risk cases. The job is listed as remote in the United States, although candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Requirements

At least 5 years of stop loss underwriting experience; specific and aggregate experience preferred.
Strong knowledge of self-funded health plan structures.
Experience reviewing large claimant reports and medical diagnoses.
Proficiency in underwriting models and rating tools.

Nice To Haves

Specific and aggregate stop loss underwriting experience is preferred.

Responsibilities

Review employer census data, claims experience, and large claimant reports.
Evaluate specific and aggregate risk exposure and establish appropriate attachment points, lasers, and aggregate corridors.
Price stop loss coverage in accordance with underwriting guidelines.
Analyze emerging large claims and assess recurrence risk.
Underwrite new employer groups seeking stop loss coverage.
Analyze renewal performance and determine rate adjustments.
Balance competitiveness with profitability targets.
Provide alternative quoting strategies when appropriate.
Communicate underwriting decisions clearly and professionally with producers.
Support producers during negotiations.
Partner with clinical underwriting on high-cost cases.
Coordinate with policy administration to ensure accurate contract terms.
Adhere to delegated underwriting authority.
Ensure compliance with state and federal regulations.
Provide guidance and mentorship to junior underwriters.
Contribute to underwriting best practices, process improvements, and training initiatives.
Serve as a subject matter expert on complex or high-risk cases.