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GPAC

Large Group Stop Loss Underwriter

San Antonio, TX, United States

$90,000 to $115,000 USD / year

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Job details

Pay: $90,000 to $115,000 USD / year
Apply by: Jan 18, 2027
Posting language: English
Posted: Oct 20, 2026

Original job description

Large Group Stop Loss Underwriter

Fully Remote

An established insurance organization is seeking an experienced Large Group Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored, self-funded health plans.

Working closely with the Head of MGU, this individual will handle complex underwriting decisions, manage portfolio profitability, and help develop large group underwriting capabilities, including rate manuals, guidelines, tools, and processes. This role requires strong medical stop loss expertise, financial analysis skills, and sound independent judgment.

Key Responsibilities

• Underwrite new business and renewals for large group medical stop loss, including Specific and Aggregate coverage.

• Analyze claims experience, large claimant information, utilization trends, and plan design to assess risk.

• Evaluate ongoing high-cost claims and emerging medical and financial risks.

• Develop and justify pricing using underwriting tools, actuarial models, and independent judgment.

• Determine rates, aggregate factors, and cost-of-risk assumptions, with accountability for final pricing decisions.

• Manage an assigned portfolio, including renewal pricing, retention, loss ratios, and overall profitability.

• Monitor portfolio performance and take corrective action when adverse trends emerge.

• Partner with brokers, consultants, and internal teams to support growth while maintaining underwriting discipline.

• Help develop and refine rate manuals, underwriting guidelines, tools, processes, and governance practices.

• Coordinate with internal teams on policy issuance, premium collection, and claim approvals.

• Mentor underwriting staff on large group risk assessment, pricing methodology, and emerging claim trends.

• Ensure compliance with underwriting guidelines, authority limits, and regulatory requirements.

Qualifications

• 6+ years of medical stop loss underwriting experience; large group experience preferred.

• Demonstrated experience underwriting complex cases and high-risk groups.

• Experience handling both new business production and renewal underwriting.

• Strong medical and financial analysis skills, including the ability to evaluate claims data and develop profitable pricing.

• Knowledge of stop loss market dynamics and emerging risk trends.

• Ability to collaborate with brokers, consultants, and internal business partners.

• Ability to serve as a subject matter expert and provide guidance to underwriting staff.

• Bachelor’s degree or equivalent work experience.

Interested in learning more? Apply or reach out directly for a confidential conversation.

Please send resumes to Alexus Ballantyne - alexus.ballantyne@gogpac.com 605-401-6251

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