Sr. Underwriter, Stop Loss

Novacore Insurance Services, LLC; Conshohocken (Montgomery County); On-site; USD 95,000 - 135,000; Full time

Job summary

Novacore Insurance Services, LLC is seeking a Medical Stop-Loss Underwriter to manage and underwrite a self-created portfolio of medical stop-loss products. You will perform risk assessments, develop pricing strategies, and provide guidance to junior underwriters while collaborating with brokers and clients to explain decisions.

The role emphasizes strong analytical skills, understanding of self-funded plans, and the ability to travel for client meetings and conferences as needed.

Qualifications

• Minimum 2 years of direct medical stop-loss underwriting experience.
• Strong knowledge of self-funded health plans and TPAs.
• Proven broker relationships and an existing book of business is a plus.
• Excellent negotiation and interpersonal skills.
• Ability to explain underwriting decisions to management and risk partners.

Responsibilities

• Evaluate and underwrite medical stop-loss insurance RFPs using historical claims data and underwriting software to set premiums.
• Analyze variables like employer size, demographics, utilization, and needs.
• Ensure compliance with state regulations and internal/carrier requirements.
• Conduct financial analyses of employers to assess ability to fund self-funded plans.
• Engage brokers/clients to gather info, explain risk decisions, and build relationships.
• Monitor portfolio performance, identify trends, and adjust underwriting practices as needed.
• Mentor and train junior underwriters and underwriting assistants.

Skills

Stop-loss underwriting

Risk assessment

Client communication

Negotiation

Underwriting software

Microsoft Office

Team mentoring

Industry knowledge

Tools

David Young system

Job description

Medical Stop Loss Underwriter

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.

Responsibilities

• Evaluate and underwrite medical stop‑loss insurance RFPs, 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 and 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.
• Travel may be expected for client meetings, industry conferences, and professional development opportunities, about twice per year—one week each cycle.

Qualifications

• 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, TPAs, and experience in the broker community.
• Established producer relationships and an existing book of business is a plus but not required.
• Strong proficiency in Microsoft Office Suite and the David Young system is strongly preferred.
• Exceptional negotiation and interpersonal skills to interact effectively with brokers, clients, and internal teams.
• Ability to communicate, justify, and document underwriting decisions to management and risk partners.
• Sound reasoning and a comprehensive ability to assess both major drivers of risk and subtle aspects that might not be immediately apparent.
• 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 benchmarks.