VP, ESL & Managed Care Programs

Crum & Forster; United States; On-site; USD 180,000 - 260,000; Full time

Job summary

Crum & Forster is seeking a Vice President, ESL & MC Programs to lead origination, program management, product development, and underwriting for employer stop loss and related lines within the Medical Business Unit. The role emphasizes strategic leadership and cross-functional collaboration across underwriting, actuary, and operations.

The successful candidate will mentor underwriters, drive profitability, and shape portfolio strategies while ensuring compliance with applicable requirements.

Responsibilities

• Implement strategy to drive profitability, retention, and written premium goals of the MBU.
• Evaluate portfolio performance, define strategic changes, and oversee execution of the portfolio in line with division objectives.
• Demonstrate understanding and use of underwriting tools and coordinate with actuaries in development, testing and maintenance.
• Perform underwriting reviews and make independent decisions per guidelines while maintaining client communications and documentation.
• Develop and maintain underwriting rules, risk management principles and compliance with corporate requirements and state/federal laws.
• Establish and manage data flows from client companies to monitor results vs targets.
• Develop annual business goals for assigned products and client partners.
• Identify new business opportunities through development activities aligned to the organization's strategy.
• Maintain in-depth knowledge of department products and articulate the department’s value proposition.
• Evaluate renewal submissions and perform underwriting of new business submissions; conduct client company reviews for strategic feedback.
• Monitor market trends, products, competitors and emerging threats to identify business potential.
• Drive product development with respect to distribution considerations.

Job description

Crum & Forster Company Overview

Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping our customers manage risk with laser-focused expertise, integrity and discipline. Our people are empowered to make decisions and problem-solve with you smartly and swiftly. Our annual gross written premium is 6.2 billion. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best.

Our most valuable asset is our people. We have 3000 employees, and locations throughout the United States and India. With our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others.

C&F is part of Fairfax Financial Holdings. For more information about C&F, please visit our website: www.cfins.com

Job Description

Since 2000, Crum & Forster's Accident & Health division (A&H) has offered a diverse portfolio of specialty insurance and reinsurance products nationwide. We place a strong focus on product development and creative distribution methods, along with excellent client service and support.

In addition to our robust domestic portfolio, which spans both special risk and medical solutions, A&H works on an international basis through various partnerships. Our global capabilities provide our partners with even broader flexibility in underwriting solutions.

The qualities and capabilities of Crum & Forster Accident & Health demonstrate our philosophy of building meaningful, long-term partnerships and our dedication to providing alternative strategies in an ever-changing insurance market.

The A&H MBU takes a full-spectrum approach to designing and servicing a robust slate of products tailored to needs in Employer Stop Loss, Excess Medical, Life, and Ancillary and Supplemental benefits. Our diversified business model includes program partnerships as well as direct sales in Employer Stop Loss. At year-end 2025, the MBU recorded $1B in gross premium written.

Information about the Role, Line of Business and Team:

This position is responsible for the origination, program management, product development and underwriting of employer stop loss (ESL), Medical XS and ancillary insurance and reinsurance products within the Medical Business Unit (MBU). Other responsibilities include portfolio management, financial planning, strategic development, coordinating accounts and projects with actuaries, operations and shared services, and negotiating contractual terms and conditions.

The Vice President, of ESL & MC Programs actively contributes as a technical expert in both underwriting activities and department-specific industry knowledge. May lead and mentor a team of underwriters to build organizational value. Collaboration with colleagues is critical to achieve divisional goals.

What you will do:

Implement strategy to drive profitability, retention, and written premium goals of the MBU

Evaluate portfolio performance based on profitability metrics, define strategic changes, and oversee execution of continuously improving portfolio in alignment with division or segment objectives

Demonstrate understanding and proper use of underwriting tools as well as coordinate with actuarial in development, testing and maintenance

Perform underwriting referral reviews and make independent decisions according to underwriting guidelines and within underwriting letter of authority while maintaining proper client correspondence and agreement documentation

Develop and maintain underwriting rules, risk management principles and regulations to ensure compliance with all currently applicable corporate requirements and state and federal legislation

Establish and manage data flows from client companies to ensure monitoring of results versus established targets and plans

Develop annual business goals for assigned products and client partners

Develop new business opportunities through business development activities that align to the organization's strategic direction and coordinate with the Business Development team

Establish an in-depth knowledge of department products and services and clearly articulate the department's value proposition

Evaluate renewal submissions, evaluate and perform initial underwriting of new business submissions, as well as schedule and perform underwriting reviews of client companies to provide technical and strategic feedback

Maintain awareness of market trends, products, market participants and competitive practices, identify emerging threats to the department, analyze and evaluate new developments and trends in the market to identify business potential

Drive product development with respect to distribution considerations, un