Stop Loss Underwriter

About the role

Acrisure is a global fintech leader that empowers millions of ambitious businesses and individuals with customized solutions across insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more. With revenue growth from $38 million to nearly $5 billion in the last twelve years and over 19,000 colleagues in more than 20 countries, Acrisure prioritizes leadership, accountability, and collaboration.

The Stop Loss Underwriter is responsible for evaluating, pricing, and managing risk for employer-sponsored self-funded health plans. This role includes underwriting both new business and renewals, assessing specific and aggregate exposure, and ensuring profitability while maintaining competitive positioning in the marketplace.

Responsibilities

• Review employer census data, claims experience, and large claimant reports
• Evaluate specific and aggregate risk exposure and establish appropriate attachment points, lasers, and aggregate corridors
• Price stop loss coverage in accordance with underwriting guidelines
• Analyze emerging large claims and assess recurrence risk
• Underwrite new employer groups seeking stop loss coverage
• Analyze renewal performance and determine rate adjustments
• Balance competitiveness with profitability targets
• Provide alternative quoting strategies when appropriate
• Communicate underwriting decisions clearly and professionally with producers
• Support producers during negotiations
• Partner with clinical underwriting on high-cost cases
• Coordinate with policy administration to ensure accurate contract terms
• Adhere to delegated underwriting authority
• Ensure compliance with state and federal regulations

Requirements

• 2+ years of stop loss underwriting experience (specific & aggregate preferred)
• Strong knowledge of self-funded health plan structures
• Experience reviewing large claimant reports and medical diagnoses
• Proficiency in underwriting models and rating tools

Pay

Base compensation range: $65,000 - $85,000. Placement within the range will be based on skills, experience, qualifications, location, and internal equity.

Benefits

• Physical Wellness: Comprehensive medical, dental, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time
• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and complimentary Calm app subscription
• Financial Wellness: Immediate vesting in 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs
• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage