Overview As an Employer medical stop-loss specialist you will shape the pricing strategy for the company's ASO and self-funded offering. You will act as the internal expert, influencing pricing methodologies, processes, and systems. You'll refine the pricing model, advise on deductibles and coverage structures, and provide market intelligence to integrate stop-loss pricing into the rating platform. You will collaborate with Actuarial, Underwriting, Finance, Operations and Sales to scale the ASO portfolio and build a new capability within a well-funded insurer.
Responsibilities- Shape and influence stop-loss pricing strategy and methodologies
- Review and enhance the pricing model, assumptions, and processes
- Advise on deductibles, attachment points, and coverage structures
- Provide market intelligence and competitive insights
- Integrate stop-loss pricing into the company's rating platform
- Collaborate with Actuarial, Underwriting, Finance, Operations and Sales as the ASO portfolio grows
- Serve as internal subject-matter expert on employer medical stop-loss
Key requirements- ASA or FSA credentialed Actuary preferred
- Employer medical stop-loss experience
- Strong knowledge of specific and aggregate stop-loss coverage
- Hands-on stop-loss pricing or underwriting experience
- Experience reviewing and improving pricing models, assumptions and processes
- optional consideration for experienced stop-loss underwriters
- cross-functional collaboration
- strong communication
- influencing senior leadership
- stop-loss pricing
- underwriting experience
- pricing model development and refinement
