Underwriter Stop Loss

AcrisureGrand Rapids, SC
4dRemote

About The Position

A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more. In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible. Position is location-flexible. Locations listed are primary locations. Applicants from additional locations will be considered. The Stop Loss Underwriter is responsible for evaluating, pricing, and managing risk for employer-sponsored self-funded health plans. This role includes underwriting both new business and renewals, assessing specific and aggregate exposure, and ensuring profitability while maintaining competitive positioning in the marketplace. The Stop Loss Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company guidelines and financial objectives.

Requirements

  • 2+ years of stop loss underwriting experience (specific & aggregate preferred)
  • Strong knowledge of self-funded health plan structures
  • Experience reviewing large claimant reports and medical diagnoses
  • Proficiency in underwriting models and rating tools
  • Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Responsibilities

  • Review employer census data, claims experience, and large claimant reports
  • Evaluate specific and aggregate risk exposure
  • 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

Benefits

  • Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.
  • Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.
  • Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.
  • Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.
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