Medical Stop-Loss Underwriter

Captive Resources; Itasca (IL); On-site; USD 100,000 - 135,000; Full time

Job summary

Captive Resources in Illinois is seeking an Underwriter to evaluate and underwrite stop-loss insurance for our health solutions programs. You will analyze medical risk, price policies, and advise on risk management based on medical costs and industry standards.

The position requires a bachelor’s degree and 2–5 years in insurance underwriting, with experience in medical claims analysis, pricing, and risk management.

Qualifications

• Bachelor’s degree in business, finance, insurance, mathematics, or related field.
• 2–5 years of experience in insurance underwriting, preferably health insurance or medical stop-loss.
• Experience with medical claims analysis, pricing, and risk management.

Responsibilities

• Evaluate submissions for medical stop-loss insurance of assigned captive programs.
• Analyze medical claims data and health costs to set coverage levels.
• Review group health plans, claims experience, and demographics for high-cost claims.
• Develop pricing for stop-loss policies within delegated authority.
• Establish retention, deductibles, and terms based on risk factors.
• Analyze claims data to identify trends and predict future costs.
• Collaborate with risk management team and explain underwriting decisions.

Skills

Industry trends

Risk management

Medical terminology

Regulatory compliance

Analytical skills

Underwriting software

Client communication

Education

Bachelor’s degree in business/finance/insurance/math

Tools

Connexure ESL Office

Job description

Captive Resources in Illinois is seeking an Underwriter to evaluate and underwrite stop-loss insurance for our health solutions programs. You will analyze medical risk, price policies, and advise on risk management based on medical costs and industry standards.

The position requires a bachelor’s degree and 2–5 years in insurance underwriting, with experience in medical claims analysis, pricing, and risk management.