The Medical Underwriting Manager is responsible for leading the daily operations, performance, and development of the small group medical underwriting team. This role ensures accurate and timely underwriting decisions across new business and renewals for small groups as well as rescission reviews, eligibility oversight, and policy issuance while maintaining high service standards for internal and external stakeholders.
The Manager plays a critical role in determining risk tolerance and appropriate rates for small groups as well as driving operational excellence through effective workflow management, staff development, quality assurance, and continuous process improvement. The ideal candidate is a hands-on leader with strong underwriting expertise, excellent communication skills, and a proven ability to manage teams in a fast-paced environment.
Responsibilities Include:Leadership & Team Management- Lead, coach, and mentor underwriting staff to ensure consistent high performance and engagement
- Conduct regular performance evaluations, monthly one-on-one meetings, and ongoing coaching
- Support employee development through training, cross-training, and individualized development plans
- Make final risk determinations on group and renewal business as needed
Operational Excellence- Oversee underwriting activities for new business, renewals, rescission reviews, and policy issuance
- Establish and maintain working relationships with sales and external stakeholders in order to support the dynamic relationship between sales, GAs, agents, and program managers
- Approve claim referrals prior to submission to carriers
Process & Quality Improvement- Analyze workflows to identify process improvements and operational efficiencies
- Review underwriting reports, renewal activity, and medical cost data to support sound decision-making and underwriting performance
Requirements
- High School Diploma or equivalent required. College degree or relevant coursework is preferred.
- Minimum of 5 years supervisory or people-management experience.
- Must have experience with Small Group and Data Base Underwriting.
- Strong analytical, problem-solving, and decision-making skills needed as well as excellent written and verbal communication skills.
- Must be able to manage competing priorities, deadlines, and varying workloads.
