Role Description Leads medical underwriting strategy and execution within Aetna's Supplemental Health Large Group division, managing risk evaluation and financial performance for the MedPremier/Boon fully insured medical product portfolio. Directs a small team of underwriters responsible for new business quoting, renewal management, and broker engagement across large group accounts. Ensures rate adequacy and loss ratio performance align with divisional financial targets while delivering competitive, broker-ready proposals. Partners closely with actuarial leadership on pricing governance and escalated case approvals within a tiered underwriting authority framework. - Directs medical underwriting operations for the MedPremier/Boon medical book. - Sets case-level standards for new business evaluation, renewal rate actions, and exception management. - Evaluates large group medical RFPs end-to-end, including census and plan design review, actuarial rate alignment, competitive positioning, and final proposal packaging for brokers and consultants. - Manages annual renewal cycle for the assigned medical book, including experience pulls, loss ratio analysis, rate action recommendations, and broker negotiation. - Partners with the Actuarial team to align filed rates with emerging experience and escalate cases outside delegated authority. - Approves medical underwriting exceptions and financial variances within delegated authority. - Leads broker and consultant-facing engagements, including BAFO presentations, experience reviews, and renewal negotiations. - Collaborates cross-functionally with Sales, Enrollment Operations, Commissions, and Compliance. - Manages team performance, workflow prioritization, and development for two direct reports. Qualifications - 5+ years of large group medical underwriting experience, including full-cycle responsibility for both new business and renewals. - Demonstrated fluency in medical underwriting financials: loss ratios, PMPM trends, IBNR/completion factors, credibility, and rate adequacy analysis. - Experience managing broker/consultant relationships in a competitive, multi-carrier environment. - Proficiency with group medical rating tools and UW case management platforms. - Strong written communication skills for executive-ready memos, broker-facing proposals, and escalation summaries. - Adept at execution and delivery — managing competing priorities and turnaround deadlines in a high-volume environment. - Mastery of problem solving and decision-making under uncertainty, with comfort operating within a delegated authority framework. Requirements - Bachelor's degree required; concentration in mathematics, finance, actuarial science, or business preferred. - Relevant professional qualification (ALHC, FLHC) a plus. Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description Primary focus of role to provide guidance and assistance to account teams and clients by using financial decision making tools, conducting client facing meetings when appropriate, to speak effectively on behalf of the underwriting team regarding core services, and acting as a mentor/coach to analyst and consulting positions. - Analyzing data from carriers on clients of high complexity and providing recommendations to account management teams or to clients in order to effectively negotiate rates and funding levels. - Evaluating and presenting monthly, quarterly and annual reports that measure client financial status, track expenses by product line, renewal projections, funding levels and rates, etc. to the Account management teams and to clients when necessary. - Evaluating, assigning, monitoring and peer review reports generated by underwriting team subordinates. - Operating as a consultant to internal staff as well as clients, assisting clients with a range of complex issues and needs. - Providing underwriting analysis services to internal staff and to clients according to their needs and strategic interests, assisting in retaining clients. - Assisting in the sales process through production of financial projections on large accounts and related underwriting analysis. - Overseeing coordination of and helping conduct underwriting team training programs for staff/clients. - Serving as a resource to branch office staff in order to contribute toward measurable ROI of services and retention of clients. - Mentoring, assisting, educating and supporting the development of other staff members. - May operate in leadership role by managing projects and being responsible for subordinates in the team. - Convincingly presenting strategic plans and negotiating effectively in all arenas, including carriers. Qualifications - Required: Bachelor's degree and 7 years experience with Broker or Carrier side with focus on Health and Benefits. - Working knowledge of Microsoft Windows applications and Microsoft Office. - High degree of understanding of employee benefits funding mechanisms. - Must be familiar with carrier reporting systems. - Be able to effectively articulate the format, content, and logic of all underwriting tools and client reports. - Preferred: Microsoft Excel expertise. - Effective negotiation skills. - Knowledgeable in using various analytical approaches to problem solving. Requirements - Detail oriented; strong analytical skills and good communication and interpersonal skills. - Must remain aware of new techniques and office procedures and be able to implement new or changing procedures with adequate instruction but minimal supervision. - Must maintain favorable relationships with clients, vendors and other office staff. - Ability to work with broad and unscheduled assignments that require originality and ingenuity and to develop best practices from experiences. - Must have developed superior problem solving skills that allow tasks to be completed without supervision. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more...

• Design and execute underwriting strategies that drive profitable growth while ensuring strong, risk-adjusted returns. • Establish and oversee underwriting guidelines, pricing models, and risk selection standards to ensure consistency and sound decision-making. • Monitor and evaluate portfolio performance, underwriting KPIs, and loss trends to identify opportunities for improvement and optimize results. • Lead, coach, and develop a high-performing team of commercial underwriters, ensuring alignment with company goals and fostering professional growth. • Conduct quarterly quality assurance audits, assess underwriting accuracy and compliance, and present actionable insights to senior leadership.

Role Description The objective of this position is to assist the Underwriter in the quoting process for our Medical Stop Loss business in the Accident & Health division. This position does not include binding authority. - Prepare new business submissions, including analysis of needed information for Underwriter review and quoting. - Customer service – correspond with clients requiring professional and responsive phone and email communications. - Process and maintain orderly electronic underwriting files. - Perform quality work within deadlines with or without direct supervision. - Interact professionally with other employees, customers, and suppliers. - Work effectively as a team contributor on all assignments. - Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations. - Adhere to company guidelines, policies, and procedures. - Other duties as may be assigned as the business continues to develop. Qualifications - Industry experience preferred - Proficiency in Microsoft Office product suite and the use of computer systems and various software applications - Collaboration and teamwork - Communication (verbal and written) - Organizational and planning skills - Analytical thinking and aptitude for evaluating and interpreting detailed information and data - Ability to independently multi-task and respond to changing business priorities - Demonstrated customer service experience and the ability to interact with a wide variety of people on a daily basis in person, via telephone, and email Benefits - The applicable base salary for this opportunity is $60,000 - $70,000. - The base pay offered will be determined by factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. - This opportunity may be eligible for performance-based incentives. - Competitive total rewards package which includes health and welfare benefits. - Tuition and professional certification assistance. - 401k savings. - Elective participation in the Employee Stock Purchase Program. - Paid time off and paid holidays. - Child bonding leave. - Other employee assistance. Company Description