Large Group Stop Loss Underwriter

About the role

Allied is seeking an experienced Medical Underwriter with large group and stop loss expertise to join our growing team. The Large Group Medical Stop Loss Underwriter will evaluate, price, and manage risk for large employer-sponsored self-funded health plans, while developing and refining large group capabilities, including rate manuals, underwriting guidelines, tools, processes, and governance practices.

A qualified candidate must have advanced underwriting expertise, financial analysis experience, and demonstrated ability to develop competitive and profitable Stop Loss solutions for both new business and renewals. The Underwriter will partner closely with brokers, consultants, and other business partners to drive growth, maintain profitability, and support strategic business objectives.

Responsibilities

• Evaluate large group employer benefit plans and assess risk from a Stop Loss perspective, including Specific and Aggregate coverages.
• Analyze claims experience, large claimant details, utilization patterns, and plan design to determine risk exposure.
• Perform medical and financial analysis of ongoing high-cost claims and emerging risks.
• Develop and justify pricing using underwriting tools, actuarial models, and independent judgment.
• Determine rate levels, aggregate factors, and cost-of-risk assumptions.
• Issue final rates and maintain accountability for all pricing decisions.
• Drive new business production while maintaining underwriting discipline and profitability targets.
• Manage a portfolio of assigned accounts with responsibility for:
  • Renewal rate development
  • Persistency and retention
  • Loss ratio performance
• Own profitability and performance of assigned block of business.
• Monitor key metrics such as loss ratios, close ratios, and renewal increases.
• Identify adverse trends and take proactive corrective action.
• Ensure adherence to underwriting guidelines, authority levels, and regulatory standards.
• Coordinate cross-functionally to support stop loss policy issue, premium collection, and claim approvals.
• Act as a subject matter expert and mentor for Underwriting Staff, providing training and guidance on large group risk assessment, pricing methodology, and emerging claim trends.

Requirements

• Bachelor's degree or equivalent work experience.
• 6+ years of medical stop loss underwriting experience; large group focus is preferred.
• Demonstrated experience managing complex cases, high-risk groups, and both new business production and renewal underwriting.
• Understanding of top loss market dynamics and emerging risk trends.

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