Medical Risk Managers, Inc. · 2 weeks ago
Underwriting Program Manager
Hartford County, CT
Full-time
Hybrid
Senior Level, Lead/Staff
10+ years expMedical Risk Managers, Inc. is an expanding organization offering a unique opportunity in an entrepreneurial environment. The Underwriting Program Manager is responsible for managing pricing for stop loss business and ensuring Underwriters contribute positively to results while partnering with program and sales teams to drive growth.
FinanceFinancial ServicesInsuranceRisk Management
Responsibilities
Assess the information provided to develop sound Specific and Aggregate Stop Loss pricing recommendations for both prospective and inforce Employer Stop Loss accounts within the set Underwriting Guidelines
Ability to screen large claims data prior to sending for nurse review
Develop strategic relationships with sales and underwriters, brokers, third-party administrators (TPAs) and other external and internal partners
Consult clients on plan designs and stop loss coverage
Actively participate in the sales process by working with the sales team to formulate successful strategy
Makes independent decisions within underwriting letter of authority and maintains proper file documentation
Assesses submissions and scenarios that exceed or fall outside underwriting authority or established guidelines, developing clearly articulated exception recommendations for executive‑level review
Provides detailed justification, risk analysis, and strategic context to support leadership decisions
Approves or Declines, and provides alternate suggestions to the other Underwriters working on the team
Manages assigned workload to meet productivity and timely service
Manages the workload and makes sure work is evenly distributed to all Underwriters work on that specific program
Ability to identify drivers of medical expenses in new and renewal cases
Provide feedback to Senior Management to develop Underwriting policies and procedures as necessary
Coaches and mentors underwriting staff to strengthen technical skills, risk assessment capabilities, and strategic decision‑making
Develops team members through structured feedback and training to achieve consistently high performance and service excellence
Coordinates with Administration to provide documentation in compliance with Underwriting policies and procedures for Audit
Maintain profitable block according to department goals
Qualification
Required
Knowledge and understanding of healthcare payers, health plan administration, and medical service providers
Advanced Knowledge of Medical Underwriting practices and principles
Possesses strong communication and problem solving skills
Advanced risk management and math skills
Excellent organizational and time management skills
Strong interpersonal skills necessary to interact with sales, brokers, producers and clients
Strong verbal and written communication skills
Flexible and open to an ever changing, fast paced environment
Exceptional attention to detail
Ability to multi-task with an emphasis on quality and customer service
Bachelor's Degree from an accredited institution or equivalent work experience
Minimum of 10 years of experience in medical stop loss underwriting
Preferred
3 or more years of previous experience managing teams is strongly preferred
Company
Medical Risk Managers, Inc.
Medical Risk Managers is a service provider to the employer stop loss industry.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2020-10-06Acquired
Leadership Team
Gail Camosci
CFO
Recent News
Company data provided by crunchbase