Employer Medical Stop-Loss- Pricing Actuary

About the role

Our client is a profitable, rapidly growing health insurer seeking an experienced employer medical stop‑loss specialist to help build its developing ASO and self‑funded offering. This is a highly visible individual‑contributor opportunity with responsibility for shaping the company’s specific and aggregate stop‑loss pricing strategy. The successful candidate will become the internal subject‑matter expert, influencing pricing methodologies, processes, and systems.

Responsibilities

• Review and improve the existing stop‑loss pricing model.
• Advise on deductibles, attachment points, and coverage structures.
• Provide current market intelligence on stop‑loss products.
• Incorporate stop‑loss pricing into the company’s proprietary rating platform.
• Partner closely with Actuarial, Underwriting, Finance, Operations, and Sales as the ASO portfolio grows.
• Shape the company’s specific and aggregate stop‑loss pricing strategy.

Requirements

• Employer medical stop‑loss experience.
• Strong knowledge of specific and aggregate coverage.
• Hands‑on stop‑loss pricing or underwriting experience.
• Experience reviewing and improving pricing models, assumptions, and processes.

Qualifications

• ASA or FSA credentialed Actuary preferred (experienced stop‑loss underwriters also considered).

Work arrangement

The position can be based remotely, with periodic travel to the head office.