Underwriting Consultant, Stop Loss Center of Excellence - Remote

Overview

This role supports the Self-Funded Center of Excellence (SFCOE), providing self-funding solutions and support to offices. Solutions include traditional stop loss, captives, level-funded options, and TPA (ASO) marketing. The Underwriting Consultant leads stop loss underwriting analysis and strategy for assigned groups and partners closely with the Vice President of Self-Funded Solutions.

Responsibilities

• Conduct in-depth claims analysis for assigned groups, including large claimant activity, high-cost diagnoses, run rates, loss ratio trends, and emerging risks.
• Evaluate stop loss deductible levels based on each group’s claims history, financial tolerance, and overall risk profile.
• Analyze renewal laser positions, including straight lasers, conditional lasers, and no-laser alternatives; develop data-driven negotiation and placement strategies.
• Identify opportunities for proactive contract, funding, or plan-design adjustments ahead of renewal.
• Recommend stop loss contract provisions, policy structures, and carrier placement strategies aligned to each group’s risk profile and objectives.
• Review and compare carrier products, services, contract language, and policy terms to support informed recommendations.
• Manage the stop loss marketing, analysis, placement, and renewal process for groups as assigned.
• Own the analysis and marketing process for assigned group stop loss policies, ensuring timely, accurate, and strategic recommendations.
• Partner with the SFCOE claims and service team to support complex claims, policy, and reimbursement matters.
• Maintain thorough documentation and oversight of policy placement, renewals, and carrier communications for assigned groups.

Requirements

• Deep technical knowledge of stop loss insurance, including specific and aggregate coverage, deductible structures, policy provisions, lasers, claims reimbursement, and renewal negotiations.
• Demonstrated experience analyzing claims data, evaluating risk, identifying cost drivers, and developing underwriting recommendations for self-funded groups.
• Ability to review a claims file and clearly explain cost drivers, likely recurrence, and how they should influence placement strategy.
• Ability to identify loss ratio trends and recommend proactive contract or plan design adjustments ahead of renewal.
• Strong writing skills with the ability to correspond and present in a clear, concise, and persuasive manner to C-Suite.
• Ability to build trusted relationships with field consultants, brokers, carrier partners, and internal stakeholders.
• Ability to prioritize multiple projects at once in a fast-paced environment.
• Highly organized and motivated to accomplish established goals.
• Support team members during peak schedules by offering help where needed.
• Comfortable mentoring and serving as an informal resource for junior colleagues.
• Ability to translate complex underwriting analysis into clear, actionable recommendations for consultants, brokers, and client leadership.
• Self-starter who can work independently and collaboratively in a close team environment.

Education & Experience

• Bachelor’s degree in business, Finance, Math, Accounting, or another related field, preferred.
• 7+ years’ experience working for a group insurance carrier, broker, or consultant, strongly preferred.
• Advanced knowledge of group insurance underwriting including Stop Loss, and Self-Funding.
• Familiarity with multiple insurance companies and TPA’s strongly preferred.
• Underwriting experience required.

Skills

• Advanced proficiency in Microsoft Excel and other tools used for claims analysis, modeling, and reporting.

Licenses

• Current life and health producer license or ability to acquire within 90 days of hire (company paid), required.

Compensation & Benefits

• Typical base pay range nationwide: $120,000 to $135,000 per year.
• Base pay is dependent on skills, education, qualifications, professional experience, and location.
• Some roles may be eligible for variable compensation, commission, and/or annual bonus based on individual performance and/or company performance.
• Eligible employees receive health, wellbeing, retirement, and other financial benefits, paid time off, and overtime pay for non-exempt employees.
• Robust learning and development programs.
• Reimbursement of job-related expenses per company policy.
• Employee perks and discounts may be available.

Location

Nationwide (typical base pay range applies nationwide).