• Regularly interact with Ledgebrook’s underwriters and wholesale trading partners over the phone, virtually, or in-person to facilitate various transactions independently or with limited guidance. • Deliver high-quality underwriting support and service excellence. • Contribute to building a profitable book of E&S business across expanding lines of business and coverages. • Seek to innovate processes/procedures and emphasize on creating efficiencies and quality to meet or exceed overall needs in a risk-differentiated manner. • Participate in a continuous learning journey with a focus on delivering world-class customer service experience to both internal and external customers.

• Lead and manage a team of analysts, through the delegation of tasks and responsibilities, providing guidance and support on condominium and cooperative reviews in support of mortgage underwriting for Retail, Home Equity, Wealth and Correspondent channels • Ensure all condo projects and cooperatives adhere to Citi, Fannie Mae, and Freddie Mac lending guidelines • Monitor daily queue dashboard and production reports and address production and/or pipeline management issues, serving as an escalation point of contact for these and SLA related issues with the goal of elevating customer experience • Act as the primary subject matter expert for all condominium and cooperative related inquiries across Sales, Underwriting, Processing, Credit Policy, Investor Relations, Repurchase, Post Close, and Correspondent teams • Conduct monthly audits of condo / co-op reviews to maintain adherence to standards and procedures as well as agency policy and regulatory requirements • Collaborate with Credit Policy to develop and update condo / co-op lending guidelines • Serve as the primary liaison with Fannie Mae and Freddie Mac for underwriting audits, providing necessary documentation and clarifying procedures and guidelines • Partner with the Repurchase department to address document requests from Fannie Mae and Freddie Mac and dispute repurchase claims as they arise • Develop and deliver comprehensive condo / co-op training to internal partners as required • Conduct managerial responsibilities, including coaching/mentoring, performance management and evaluation, work assignment management and resource/capacity management, monitoring and escalating as needed • Continuously identify process improvements and efficiencies to support business unit goals through dissecting issues and making recommendations

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...