Senior Medical Stop-Loss Underwriter & Pricing Strategist

Highmark Health; Washington (NC); Remote; USD 94,000 - 151,000; Full time

Job summary

HM Insurance Group is seeking a Medical Stop Loss Underwriting Consultant to manage underwriting for a block of stop loss business, coordinating with Sales, Underwriting and Clinical teams to drive pricing and risk analysis. The role emphasizes P/L outcomes, renewal metrics, and new business growth.

Ideal candidates bring a decade or more of underwriting experience, strong analytical capabilities, and leadership skills to train and guide junior staff.

Qualifications

• Bachelor's Degree in Mathematics, Actuarial Science, Finance, Business Administration/Management or Computer and Information Science
• 6 years of experience in lieu of degree
• CEBS/HIA/MHP/SA or actuarial certifications preferred
• 10–15 years of underwriting experience preferred

Responsibilities

• Underwrite new and renewal business within an assigned block using rating guides and experience data
• Collaborate with Sales, Underwriting and Clinical teams to implement pricing actions
• Mentor and coach junior staff to spread best practices across the department
• Enhance underwriting guidelines, processes, and tools with market insights
• Act as subject matter expert to support renewal negotiations and new business acquisition

Skills

Creative Thinking

Risk Management

Relationship Skills

Conflict Management

Analytical Skills

Underwriting Expertise

Education

Bachelor's Degree in Mathematics

Actuarial Science

Finance

Business Administration/Management

Computer and Information Science

Job description

HM Insurance Group is seeking a Medical Stop Loss Underwriting Consultant to manage underwriting for a block of stop loss business, coordinating with Sales, Underwriting and Clinical teams to drive pricing and risk analysis. The role emphasizes P/L outcomes, renewal metrics, and new business growth.

Ideal candidates bring a decade or more of underwriting experience, strong analytical capabilities, and leadership skills to train and guide junior staff.