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Senior Medical Underwriter Jobs (NOW HIRING)

Amwins

Medical Underwriter II

Farmington, CT · On-site

Senior Medical Underwriter Branford or Farmington, Connecticut | Hybrid True Benefit, an Amwins Group company, is adding a Senior Medical Underwriter in Branford or Farmington, Connecticut. This ...

Amwins

Medical Underwriter II

Branford, CT · Hybrid

Senior Medical Underwriter Branford or Farmington, Connecticut | Hybrid True Benefit, an Amwins Group company, is adding a Senior Medical Underwriter in Branford or Farmington, Connecticut. This ...

New

Amwins

Medical Underwriter II

Farmington, CT · Hybrid

Senior Medical Underwriter Branford or Farmington, Connecticut | Hybrid True Benefit, an Amwins Group company, is adding a Senior Medical Underwriter in Branford or Farmington, Connecticut. This ...

JCW Group

Medical Underwriter

Cincinnati, OH · On-site

... a Medical Stop Loss professional to its underwriting team in Cincinnati. This is a great ... You will have direct exposure to senior leadership given the size of the team, and a clear line of ...

Jobtailor

$90 - $130/hr

* Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for commercial health coverage * Coordinates with other departments to ensure accuracy ...

Elevance Health

Group Underwriter, Senior

Indianapolis, IN · Hybrid

$94K - $111K/yr

Group Underwriter, Senior Group Underwriter, Senior Location: This role requires associates to be ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Elevance Health

Group Underwriter, Senior

Indianapolis, IN · Hybrid

$94K - $111K/yr

Group Underwriter, Senior Group Underwriter, Senior Location: This role requires associates to be ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Elevance Health

Group Underwriter, Senior

Mason, OH · Hybrid

$92K - $109K/yr

Group Underwriter, Senior Group Underwriter, Senior Location: This role requires associates to be ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Elevance Health

Group Underwriter, Senior

Mason, OH · Hybrid

$92K - $109K/yr

Group Underwriter, Senior Group Underwriter, Senior Location: This role requires associates to be ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Elevance Health

Group Underwriter, Senior

Atlanta, GA · Hybrid

$94K - $112K/yr

Group Underwriter, Senior Group Underwriter, Senior Location: This role requires associates to be ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Elevance Health

Group Underwriter, Senior

Atlanta, GA · Hybrid

$94K - $112K/yr

Group Underwriter, Senior Group Underwriter, Senior Location: This role requires associates to be ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Highmark Health

Senior Medical Stop Loss Underwriter

$100K - $119K/yr

The incumbent uses discretion of Underwriting authority within the policies of HMIG and ensures appropriate levels of profitability and growth over time. Identifying when to decline quotes that do ...

ParetoHealth

Senior Underwriter - New Business

Philadelphia, PA · Hybrid

$99K - $117K/yr

Position Summary Pareto Health is seeking a seasoned and detail-oriented Senior Underwriter to join ... Perform medical underwriting review of individual large claimants based upon self-funded reporting ...

Novacore

Sr. Underwriter, Stop Loss

Conshohocken, PA

$96K - $114K/yr

Underwriter, Stop Loss The Sr. Medical Stop-Loss Underwriter is a pivotal team member responsible for managing and underwriting a self-created portfolio of medical stop-loss products. This role ...

Elevance Health

Group Underwriter, Senior

Atlanta, GA · Hybrid

$94K - $112K/yr

Group Underwriter, Senior Location: This role requires associates to be in-office 1 day per week ... Determines and provides guidance to medical underwriters concerning the risk selection of ...

Sompo

$79.74 - $102.53/hr

Senior Underwriter Internationale Krankenversicherung (IPMI) für Expats**Sompo (Sompo ... Enge Zusammenarbeit mit Claims, Operations, Legal, Compliance, Finance, Actuarial, Medical ...

Novacore

Sr. Underwriter, Stop Loss

Conshohocken, PA · On-site

$96K - $114K/yr

Underwriter, Stop Loss The Sr. Medical Stop-Loss Underwriter is a pivotal team member responsible for managing and underwriting a self-created portfolio of medical stop-loss products. This role ...

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Senior Medical Underwriter information

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$37K

$106.6K

$133.5K

How much do senior medical underwriter jobs pay per year?

As of Aug 25, 2026, the average yearly pay for senior medical underwriter in the United States is $106,601.00, according to ZipRecruiter salary data. Most workers in this role earn between $98,500.00 and $116,500.00 per year, depending on experience, location, and employer.

What does a senior medical underwriter do?

A Senior Medical Underwriter is responsible for evaluating and assessing complex medical insurance applications to determine the risk involved in insuring individuals or groups. They review medical histories, laboratory results, and other relevant information to make informed decisions about coverage and premiums. Senior Medical Underwriters also provide guidance to junior staff, develop underwriting policies, and collaborate with actuaries and medical professionals to ensure accurate risk assessment. Their expertise helps insurance companies manage risk and maintain profitability while offering fair and appropriate coverage to clients.

What skills and qualifications are needed to be a senior medical underwriter?

To thrive as a Senior Medical Underwriter, you need deep knowledge of risk assessment, medical terminology, and underwriting guidelines, usually supported by a degree in a related field and extensive experience in insurance underwriting. Familiarity with underwriting software, medical databases, and relevant certifications such as the Associate in Underwriting (AU) designation are commonly required. Strong analytical skills, attention to detail, and effective communication are vital soft skills for evaluating cases and collaborating with colleagues. These competencies ensure accurate risk selection and pricing, helping insurers maintain profitability and regulatory compliance.

How does a senior medical underwriter collaborate with other departments within an insurance company?

Senior Medical Underwriters work closely with teams such as actuarial, claims, and sales to ensure accurate risk assessment and policy pricing. They often consult with medical directors for complex cases and communicate with sales teams to explain underwriting decisions. Collaboration ensures that policies are both competitive and compliant with regulatory standards, and helps maintain a balance between risk management and business growth. This cross-functional teamwork is essential for developing solutions tailored to clients' needs while upholding underwriting guidelines.
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Senior Medical Underwriter jobs near you
Infographic showing various Senior Medical Underwriter job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $106,601 per year, or $51.3 per hour.

Medical Underwriter II

Farmington, CT • On-site

Amwins
Insurance Services • 5 - 10K employees

7.8

Company rating: 7.8 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

195th of 311 rated insurance

People enjoy working here

Good employer

Recommended by parents

Learn more about Amwinsexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Senior Medical Underwriter
Branford or Farmington, Connecticut | Hybrid
True Benefit, an Amwins Group company, is adding a Senior Medical Underwriter in Branford or Farmington, Connecticut. This incremental hire supports continued business growth.
True Benefit is an employee benefits consulting and healthcare underwriting program manager supporting a leading Professional Employer Organization (PEO) platform. Please visit us at www.amwins.com/opco/true-benefit. We manage more than $2.3 billion in annual healthcare premium for over 150,000 insured employees nationwide. True Benefit has been part of Amwins Group, the world's largest wholesale insurance distributor, since 2016. Please visit us at www.amwins.com.
Why This Opportunity
This opportunity is designed for an experienced group medical underwriter who wants to remain close to the technical work while gaining broader influence across pricing, sales partnership, talent development and underwriting strategy.
  • Work on complex level-funded, self-funded, minimum-premium and other alternative-funded cases.
  • Remain a hands-on senior individual contributor while mentoring colleagues and helping shape underwriting standards.
  • Partner directly with sales teams and carrier partners on competitive case strategy and pricing decisions.
  • Contribute to training, process improvement and the continued scalability of the underwriting operation.
  • Benefit from hybrid flexibility and the resources, stability, and long-term perspective of True Benefit and Amwins.

Position Overview
As Senior Medical Underwriter, you will evaluate and price group medical opportunities, develop benefit and risk recommendations, and partner with sales and carrier teams to produce competitive solutions while protecting the financial integrity of the business. You will apply your expertise across level-funded, self-funded, minimum-premium and other alternative funding arrangements.
This is a visible role and you will be trusted to exercise sound underwriting judgment, explain complex decisions clearly, mentor junior underwriters and help strengthen underwriting quality and consistency.
Hybrid Work Arrangement
  • Hybrid work arrangement requiring two days per week in either True Benefit's Branford or Farmington, Connecticut office.
  • The remaining workdays may be worked remotely, subject to business and team needs

Responsibilities
Group Medical Pricing and Risk Assessment
  • Develop rate quotes, benefit recommendations and risk arrangements for group medical opportunities.
  • Evaluate fully insured, level-funded, self-funded, minimum-premium and other alternative funding arrangements.
  • Assess complex cases quickly and apply underwriting protocols consistently.
  • Balance sound risk assessment with growth objectives to protect the book of business while supporting membership growth.

Sales and Carrier Partnership
  • Collaborate with sales teams and carrier partners to develop competitive, market-aligned solutions that meet prospect needs and maintain financial integrity.
  • Clearly communicate underwriting decisions, pricing considerations and case strategy to internal stakeholders and external partners.
  • Serve as a subject matter expert on group medical underwriting, alternative funding strategies and evolving market trends.

Underwriting Leadership and Development
  • Educate internal teams and sales partners on underwriting principles, methods and funding arrangements.
  • Actively support and collaborate with other underwriters to promote consistent standards across cases.
  • Mentor and coach junior underwriters through peer review, real-time feedback and technical guidance.
  • Assist in developing underwriting training tools, resources and educational materials.

Process Improvement and Innovation
  • Recommend and support process improvements that strengthen underwriting efficiency, accuracy and scalability.

Qualifications
Required
  • Bachelor's degree.
  • 5 or more years of group healthcare rating and underwriting experience.
  • Group medical underwriting experience gained through a health insurance carrier, employee benefits brokerage, benefits administrator or comparable organization.
  • Direct experience with self-funded and level-funded group health arrangements, including group medical pricing and risk assessment.
  • Ability to work effectively in a fast-paced, high-production environment.
  • Strong strategic thinking, judgment, and decision-making skills.
  • Excellent analytical, organizational, interpersonal and communication skills, including the ability to explain complex underwriting concepts clearly to technical and nontechnical audiences.
  • Ability to work collaboratively in a team-based environment.
  • Advanced Microsoft Excel and PowerPoint skills.

Preferred
  • Experience pricing large-group health plans within the PEO market.
  • Experience with minimum-premium arrangements.
  • Experience mentoring or reviewing the work of less-experienced underwriters and contributing to training resources.
  • Working knowledge of Power BI or Tableau.
  • Professional certification such as CEBS or CSFS.

What We Offer
True Benefit and Amwins offer the entrepreneurial environment of a growing specialty business, backed by the scale and stability of the nation's largest wholesale insurance distributor.
  • Competitive and comprehensive compensation.
  • Eligibility for an incentive bonus once applicable requirements are met.
  • Medical, dental, vision, prescription, disability and group life insurance with no waiting period.
  • 401(k) matching and competitive paid time off, including paid holidays.
  • Charitable donation matching.
  • A collaborative, supportive environment that values technical expertise and professional growth.

Pursuant to Connecticut regulation, the compensation range for this position is as stated and includes eligibility for performance-based bonuses.
Connecticut Pay Range
$75,000-$95,000 USD

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