Medical Stop-Loss Underwriting Director: Strategy & Growth

Questpro; Cincinnati (OH); On-site; USD 150,000 - 230,000; Full time

Job summary

Questpro in Cincinnati seeks a seasoned Technical Director of Medical Stop Loss Underwriting to lead risk selection, set underwriting guidelines, and steward profitability across blocks. This role reports to the Division VP and requires deep expertise and a proven profitability track record.

You will manage facultative reviews, audit distribution partnerships, and coordinate with compliance, actuarial, and risk leaders.

Qualifications

• Bachelor’s degree preferred or strong education in related field.
• 5–10+ years of experience within Medical Stop Loss underwriting.
• Proven profitability track record in stop loss portfolios.
• Ability to negotiate complex financial deals and communicate assessments to executives and partners.
• Proficiency with underwriting platforms and data analysis tools.

Responsibilities

• Risk Selection & Facultative Reviews: evaluate risks to ensure profitable new business and high-margin retention.
• Partner & Broker Management: manage relationships with MGUs, TPAs, and specialty brokers for pricing and placement.
• Audit & Compliance: conduct annual risk-based underwriting audits of distribution partners.
• Profitability Monitoring: analyze loss ratios and financial reports to identify trends.
• Reinsurance Coordination: review programs to identify opportunities and expansions.
• Stakeholder Alignment: report to executives across compliance, actuarial, and risk.

Skills

Risk assessment

Underwriting

Negotiation & influence

Data analysis

Stakeholder communication

Education

Bachelor’s Degree

Job description

Questpro in Cincinnati seeks a seasoned Technical Director of Medical Stop Loss Underwriting to lead risk selection, set underwriting guidelines, and steward profitability across blocks. This role reports to the Division VP and requires deep expertise and a proven profitability track record.

You will manage facultative reviews, audit distribution partnerships, and coordinate with compliance, actuarial, and risk leaders.