Production Underwriter

Job Description

Job Summary

Breckpoint, an Acrisure partner, offers a one-of-a-kind program that allows employers of all sizes to self-insure their health benefits. The Production Medical Underwriter plays a critical role in evaluating and pricing stop-loss and self-funded group medical plans for both new business and renewals. This position collaborates closely with internal teams and external partners to ensure accurate, competitive, and timely proposals while operating within underwriting guidelines and profitability targets.

*This position is location-flexible. Target locations are listed; additional locations may be considered.

Responsibilities

• Review incoming submissions for completeness and coordinate with brokers, TPAs, and internal partners to obtain necessary documentation for risk evaluation.
• Upload, validate, and analyze data using underwriting platforms and AI tools.
• Evaluate, price, and issue proposals for specific and aggregate stop-loss coverage.
• Calculate renewal rates based on a thorough analysis of claims experience, demographics, industry, location, and other key risk indicators.
• Communicate underwriting assumptions, rationale, and additional information needs clearly and professionally to producer channels and internal partners.
• Participate in underwriting roundtables and work collaboratively with claims, policy, and other departments to identify risk drivers and refine pricing approaches.
• Organize and prioritize a high-volume book of business while meeting quoting deadlines and adhering to internal authority levels.
• Maintain accurate documentation of underwriting decisions, assumptions, and required sign-offs in accordance with audit and compliance standards.
• Support broker and client strategy discussions by providing underwriting insights and defending quote positions when appropriate.
• Contribute to process improvements, workflow enhancements, and continuous improvement initiatives across the underwriting department.
• Stay informed on stop-loss market trends, competitor behavior, and regulatory developments impacting self-funded health plans.

Requirements

• Strong attention to detail with the ability to manage a high-volume workload and competing deadlines.
• Proficiency with underwriting systems and Microsoft Office products; ability to adapt quickly to new platforms and tools.
• Excellent communication skills, with the ability to explain complex medical and financial concepts to non-underwriters.
• Strong analytical, mathematical, and critical-thinking skills.
• Demonstrated independent decision-making while understanding potential impacts and consequences.
• Ability to build strong relationships with brokers, TPAs, and internal partners.
• Professional writing and phone communication skills.
• Commitment to accuracy, organization, and maintaining complete underwriting documentation.
• Openness to new ways of thinking, ongoing learning, and continuous improvement.

Education & Experience

• Bachelor’s degree preferred; equivalent industry experience considered.
• 3+ years of medical underwriting experience (self-funded or stop-loss strongly preferred).
• Experience working with MGUs, TPAs, or carrier-side underwriting teams is a plus.

Pay Details:

The base compensation range for this position is $60,000 - $85,000. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.

Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership.

Why Join Us:

At Acrisure, we’re building more than a business, we’re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.

Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York.

Employee Benefits

We also offer our employees a comprehensive suite of benefits and perks, including:

• Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.

• Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.

• Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.

• Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.

• … and so much more!

This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location.

Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.

Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws.

California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy.

Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice.

Welcome, your new opportunity awaits you.