Description: Allied is excited to bring a new Medical Underwriting Manager on to our Underwriting team to provide leadership to our growing team. 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. PI1dbb0aa6-
11/13/2026
Full time
Description: Allied is excited to bring a new Medical Underwriting Manager on to our Underwriting team to provide leadership to our growing team. 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. PI1dbb0aa6-
Description: Allied is looking for an experienced Medical Underwriter who has worked within large group and stop loss to join our growing team. The Large Group Medical Stop Loss Underwriter will work closely with the Head of MGU and be responsible for evaluating, pricing, and managing risk for large employer-sponsored self-funded health plans. They will also be responsible for the development, implementation, and ongoing refinement of large group capabilities, including rate manuals, underwriting guidelines, tools, processes, and related governance practices. A qualified candidate must have advanced underwriting expertise, financial analysis experience, and have demonstrated capabilities to develop competitive and profitable Stop Loss solutions for both new business and renewals. The Underwriter will partner closely with brokers, consultants, and other business partners to drive growth, maintain profitability, and support strategic business objectives. Responsibilities Include: Risk Assessment & Underwriting Evaluate large group employer benefit plans and assess risk from a Stop Loss perspective, including Specific and Aggregate coverages Analyze claims experience, large claimant details, utilization patterns, and plan design to determine risk exposure Perform medical and financial analysis of ongoing high-cost claims and emerging risks. Pricing & Financial Analysis Develop and justify pricing using underwriting tools, actuarial models, and independent judgment. Determine rate levels, aggregate factors, and cost-of-risk assumptions. Issue final rates and maintain accountability for all pricing decisions. New Business & Renewals Drive new business production while maintaining underwriting discipline and profitability targets Manage a portfolio of assigned accounts with responsibility for: Renewal rate development Persistency and retention Loss ratio performance Portfolio Management & Profitability Own profitability and performance of assigned block of business. Monitor key metrics such as loss ratios, close ratios, and renewal increases. Identify adverse trends and take proactive corrective action. Ensure adherence to underwriting guidelines, authority levels, and regulatory standards. Coordinate cross-functionally to support stop loss policy issue, premium collection and claim approvals. Requirements: Must have a Bachelor's degree or equivalent work experience Must have 6+ years of medical stop loss underwriting experience, large group focus is preferred Demonstrated experience managing complex cases, high-risk groups, and both new business production and renewal underwriting is required Needs an understanding of top loss market dynamics and emerging risk trends Will act as a subject matter expert and mentor for Underwriting Staff, providing training and guidance on large group risk assessment, pricing methodology, and emerging claim trends PId52fa17fca78-7743
11/12/2026
Full time
Description: Allied is looking for an experienced Medical Underwriter who has worked within large group and stop loss to join our growing team. The Large Group Medical Stop Loss Underwriter will work closely with the Head of MGU and be responsible for evaluating, pricing, and managing risk for large employer-sponsored self-funded health plans. They will also be responsible for the development, implementation, and ongoing refinement of large group capabilities, including rate manuals, underwriting guidelines, tools, processes, and related governance practices. A qualified candidate must have advanced underwriting expertise, financial analysis experience, and have demonstrated capabilities to develop competitive and profitable Stop Loss solutions for both new business and renewals. The Underwriter will partner closely with brokers, consultants, and other business partners to drive growth, maintain profitability, and support strategic business objectives. Responsibilities Include: Risk Assessment & Underwriting Evaluate large group employer benefit plans and assess risk from a Stop Loss perspective, including Specific and Aggregate coverages Analyze claims experience, large claimant details, utilization patterns, and plan design to determine risk exposure Perform medical and financial analysis of ongoing high-cost claims and emerging risks. Pricing & Financial Analysis Develop and justify pricing using underwriting tools, actuarial models, and independent judgment. Determine rate levels, aggregate factors, and cost-of-risk assumptions. Issue final rates and maintain accountability for all pricing decisions. New Business & Renewals Drive new business production while maintaining underwriting discipline and profitability targets Manage a portfolio of assigned accounts with responsibility for: Renewal rate development Persistency and retention Loss ratio performance Portfolio Management & Profitability Own profitability and performance of assigned block of business. Monitor key metrics such as loss ratios, close ratios, and renewal increases. Identify adverse trends and take proactive corrective action. Ensure adherence to underwriting guidelines, authority levels, and regulatory standards. Coordinate cross-functionally to support stop loss policy issue, premium collection and claim approvals. Requirements: Must have a Bachelor's degree or equivalent work experience Must have 6+ years of medical stop loss underwriting experience, large group focus is preferred Demonstrated experience managing complex cases, high-risk groups, and both new business production and renewal underwriting is required Needs an understanding of top loss market dynamics and emerging risk trends Will act as a subject matter expert and mentor for Underwriting Staff, providing training and guidance on large group risk assessment, pricing methodology, and emerging claim trends PId52fa17fca78-7743
Description: Allied is excited to announce that we are looking for a Stop Loss Claims Specialist to join our team! This person will be responsible for identifying, tracking, reviewing, and processing stop-loss reimbursements claims on behalf of carriers within an MGU stop-loss operation. An ideal candidate brings strong knowledge of medical claims, stop-loss policy interpretation, and large-claim management in a self-funded or TPA environment. Duties/Responsibilities Review and process specific and aggregate stop-loss claims in accordance with policy provisions, carrier guidelines, and internal procedures Interpret stop-loss contracts and supporting plan documents to determine reimbursement eligibility, required documentation, and claim disposition Monitor high-cost and ongoing claims for reimbursement potential and follow up on outstanding submissions or requests for additional information Prepare, track, and report specific and aggregate claim activity, including aggregate accommodation calculations, monthly reporting, and audit support Analyze claims, medical documentation, and supplemental materials to ensure timely, accurate claim handling and clear audit trails Requirements: Must have a high school diploma or equivalent. Associate or Bachelors in a related field is a plus. Needs to have 3+ years of experience in medical claims processing, stop-loss administration, aggregate claim review and processing, large claim review, or a related self-funded environment Must be able to read, interpret, and apply stop-loss contracts, policy language, and supporting plan documents PI89318f792b29-2491
11/11/2026
Full time
Description: Allied is excited to announce that we are looking for a Stop Loss Claims Specialist to join our team! This person will be responsible for identifying, tracking, reviewing, and processing stop-loss reimbursements claims on behalf of carriers within an MGU stop-loss operation. An ideal candidate brings strong knowledge of medical claims, stop-loss policy interpretation, and large-claim management in a self-funded or TPA environment. Duties/Responsibilities Review and process specific and aggregate stop-loss claims in accordance with policy provisions, carrier guidelines, and internal procedures Interpret stop-loss contracts and supporting plan documents to determine reimbursement eligibility, required documentation, and claim disposition Monitor high-cost and ongoing claims for reimbursement potential and follow up on outstanding submissions or requests for additional information Prepare, track, and report specific and aggregate claim activity, including aggregate accommodation calculations, monthly reporting, and audit support Analyze claims, medical documentation, and supplemental materials to ensure timely, accurate claim handling and clear audit trails Requirements: Must have a high school diploma or equivalent. Associate or Bachelors in a related field is a plus. Needs to have 3+ years of experience in medical claims processing, stop-loss administration, aggregate claim review and processing, large claim review, or a related self-funded environment Must be able to read, interpret, and apply stop-loss contracts, policy language, and supporting plan documents PI89318f792b29-2491