American International Group

Medical Stop Loss Underwriting Practice Lead, Accident & Health

American International Group$126K — $171K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or higher or equivalent experience
  • Minimum 7+ years of medical stop-loss underwriting experience, specifically in both specific and aggregate coverage
  • Strong knowledge of healthcare payers and health plan administration
  • Excellent analytical, mathematical, and communication skills
  • Ability to manage multiple priorities in a fast-paced environment
  • Demonstrated ability to build broker and TPA relationships for business growth
  • Knowledge of state regulatory and compliance requirements

Responsibilities

  • Manage and oversee Program Managers with Delegated Underwriting Authority
  • Create underwriting guidelines and ensure adherence during audits
  • Timely handle case referrals and assess risk
  • Analyze group medical claims data to determine appropriate stop-loss premiums
  • Collaborate with distribution and actuarial teams on complex cases
  • Maintain strong relationships with brokers and third-party administrators
  • Present underwriting rationale clearly to internal stakeholders
  • Mentor junior underwriters, sharing expertise and best practices

Benefits

  • Comprehensive benefits package focusing on health, wellbeing, and financial security
  • Professional development opportunities
  • Emphasis on collaborative work culture
  • In-person collaboration valued as part of company culture
Full Job Description
Medical Stop Loss Underwriting Practice Lead - Accident & Health

The Medical Stop Loss Underwriting Practice Lead is responsible for evaluating, pricing, and managing risk on employer group stop-loss business. This role requires advanced technical expertise in underwriting Specific and Aggregate Stop Loss plans for self-funded medical plans and a strong understanding of risk factors, industry trends, and broker/client expectations.

How you will create an impact:

Financial / Business Development
  • Responsible for achievement of top and bottom-line results for new and renewal business.
  • Deliver on underwriting profit results with focus on profitability, loss ratio and combined ratio.
  • Develop, maintain and grow relationships with external business partners to drive healthy organic growth of business.
  • Collaborate and cross-sell with other internal stakeholders and lines of business within AIG.


Key Responsibilities
  • Management and Oversight of Program Managers with Delegated Underwriting Authority
  • Creation of Underwriting Guidelines and oversight / audit of adherence to those guidelines
  • Timely handling of Case referrals
  • Develop and maintain alignment of partnership expectations.
  • Analyze group medical claims data, demographics, and plan designs to assess risk and determine appropriate stop-loss premiums and terms.
  • Collaborate with distribution and actuarial teams on complex case evaluations, renewals, and new business opportunities.
  • Develop and maintain strong relationships with brokers, consultants, and third-party administrators (TPAs).
  • Present underwriting rationale and recommendations to internal stakeholders with clarity and confidence.
  • Ensure compliance with underwriting guidelines, regulatory requirements, and company risk tolerance.
  • Recommend modifications to underwriting practices and tools based on emerging market trends and experience.
  • Mentor and train junior underwriters, sharing technical expertise and best practices.
  • Support development of new products, pricing strategies, and process improvements to enhance competitiveness.


What you will need to succeed
  • Bachelor's degree or higher and / or equivalent experience.
  • Minimum 7+ years of medical stop-loss underwriting experience; strong background in both specific and aggregate coverage.
  • Knowledge and understanding of healthcare payers, health plan administration, and medical service providers.
  • Advanced Knowledge of Medical Underwriting practices and principles.
  • Excellent analytical, mathematical, and communication skills.
  • Ability to manage multiple priorities and make sound underwriting decisions in a fast-paced environment.
  • Demonstrated ability to build broker and TPA relationships and support business growth initiatives.
  • Demonstrated ability to develop and execute strategies to grow profitability and production growth.
  • Strong customer service ethic, with a sound understanding of the business processes.
  • Self-motivated and able to set strategic direction.
  • Able to work in a team to lead and contribute so that AIG meets its strategic goals.
  • Knowledge of state regulatory and compliance requirements.
  • Ability to multi-task and handle divisional objectives as requested and handles multiple priorities often under tight deadlines.
  • Strong sense of responsibility for one's actions and work.


Preferred Attributes
  • Strong knowledge of ERISA plans, self-funding structures, and cost containment programs.
  • A cost containment background, such as utilization review or managed care is helpful
  • Experience as an RN Medical Case Manager is ideal
  • Collaborative and strategic mindset with attention to detail and accuracy


For positions based in NYC, NY, the base salary range for this position is $118,000-$178,000, for positions based in New Jersey, the base salary range for this position is $126,000-$171,000, for positions based in Illinois the base salary range for this position is $125,000-$173,000, and the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. In addition, we're proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview

At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike.

Enjoy benefits that take care of what matters

At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family.

Functional Area:

UW - Underwriting

National Union Fire Insurance Company of Pittsburgh, Pa.

About American International Group

American International Group provides property insurance, life insurance, and financial services.

American International Group Careers

Join the dynamic team at American International Group (AIG), a leading global insurance organization, and propel your career into a future of opportunities and professional growth. At AIG, we are committed to fostering a culture of innovation, leadership, and diversity that is unmatched in the industry.

Work You’ll Do

At American International Group, you will collaborate with some of the brightest minds in the industry, dedicated to solving complex challenges and driving transformative solutions in the world of insurance. Our team is at the forefront of developing innovative insurance products that not only meet the needs of our clients worldwide but also anticipate future trends.

Explore Job Opportunities and Internships

Whether you're a seasoned professional looking for your next challenge or a recent graduate eager to start your career, AIG offers a range of job opportunities and internships across various functions. From underwriting and claims to finance and technology, your next position awaits you at AIG. Our internships provide invaluable hands-on experience, helping you to enhance your skills and make meaningful contributions from day one.

Grow and Develop Your Career

AIG believes in the power of continuous learning and offers extensive training and development programs to help you hone your skills and advance your career. Leadership development, diversity training, and innovation workshops are just a few examples of how we invest in our employees' growth and leadership capabilities.

Benefits and Culture

Joining AIG means more than just having a job; it means being part of a team that values diversity and is committed to creating an inclusive environment where everyone can thrive. We offer competitive benefits that support the health, well-being, and financial security of our employees and their families. At AIG, you will find a supportive network and a culture that applauds innovation and rewards performance.

Networking and Professional Development

We encourage our employees to build professional relationships both within and outside the company through networking events, professional groups, and career fairs. These opportunities not only enhance your career but also expand your professional network, which is vital in today’s dynamic job market.

Join Our Team

Search open positions that match your skills and interests on our Careers page. We are looking for passionate, curious, and solution-driven team players who are ready to take their career to the next level. Explore the exciting and rewarding career opportunities available at American International Group today.

Stay Connected

Keep up to date with the latest industry trends, career tips, and company news by subscribing to our careers blog. Personalize your experience by signing up for job alert emails tailored to your preferences and be the first to know about new openings and exclusive insights from professionals within AIG. At American International Group, your career is just the beginning – it’s a pathway to developing your skills, meeting new challenges, and making a difference in a global company known for its commitment to innovation and excellence. Join us and shape your future with AIG.
Learn more about American International Group
Size
36,600 employees
Market Cap
$46.4 billion
Industry
Net Income
-$5.9 billion
Founded
1919
5 Year Trend
-0.3%
Revenue
$43.7 billion
NASDAQ

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