5 Reasons Stop Loss Carriers, MGUs, and Captives Choose Gradient AI for Underwriting

GROUP HEALTH INSIGHTS BLOG  |   March 26, 2025

The Gradient AI Team

5 Reasons Stop Loss Carriers, MGUs, & Captives Choose Gradient AI

In the competitive world of group health underwriting for stop loss carriers, MGUs, and captives, success hinges on three key factors: speed, accuracy, and pricing. To stay ahead, the ability to assess risk with precision is critical.


What if you could pinpoint valuable opportunities that others overlook, pricing them for success, while managing risk effectively? Imagine significantly reducing quote turnaround times, all while maintaining a healthy loss ratio!


At Gradient AI, we help our Stop Loss, MGU and Captive partners predict group health insurance risk more efficiently and effectively, with our proven AI and machine learning models.


Our Stop Loss, MGU, and Captive Clients Tell Us There are 5 Key Reasons They Choose Gradient AI Over Other Solutions Providers

 

1.  Accuracy. Gradient AI has proven its value time and again. We’ve completed over 150 head-to-head proof-of-concepts against leading competitors and earn our clients’ trust on the basis of these comparisons, because our model allows our clients to price and predict risk with greater precision.

 

2.  Timely Data. We update our data every 30 days, providing clients with the most up-to-date information. Accessing fresh, relevant data delivers greater certainty in pricing and risk projection. 

 

“We chose Gradient AI because, of all the solutions we researched, it made us feel the most comfortable. We felt the Gradient AI solution had equal parts accuracy, with the data to back it up. We increased our overall underwriting production and efficiency this past busy 1/1 quote season. We had no backlog and tripled our production in sold fully insured cases.”  -   Steve Schroeder, VP for Level Funding, Dallas Risk Management (MGU)

 

3.  Industry-leading match rates. This results from Gradient AI getting a medical, Rx, Rx specialty, and/or lab match on at least 90% of the headcount provided in a census. Superior match rates lead to better, more informed decision making.  

 

4.  Innovation. Gradient AI is not just “black box” underwriting, meaning the reasons behind the risk score are not easily explainable or transparent. We’re not just providing a risk score. We’re providing volume of detail around that score which can be applied that to the business case at hand.


For example, among numerous other data points, Gradient AI provides:

  • Top conditions
  • Top drugs
  • High-cost claims reporting
  • Stop loss risk scores
  • Condition flags

 

At Gradient AI, we’re constantly iterating and striving to improve our outputs. We were the first to provide access to medical, lab and prescription data, and the first to provide actionable insights.


“We sought a tool capable of greatly enhancing our risk assessment efforts, especially in areas with limited or no detailed group-specific data. Gradient AI’s  SAIL™ solution not only helped us make better-informed decisions but provided us with the critical detail of what is driving that risk. With other competitors’ models, that critical information was missing.”  -  Jennifer Taylor, Director of Alternative Risk, Evolution Risk Partners (MGU)

 

5.  Great partners. Clients tell us we are easy to work with. Not only from a pricing standpoint, but we make sure we take the time to understand your business, your unique cases, and your unique workflows to build a solution around your goals and challenges. We also understand the potential cost of inaction to your business.


Conclusion: Group Health Underwriting is a High-Stakes Arena Where the Ability to Move Quickly, Assess Risks Accurately, and Offer the Right Pricing Sets Companies Apart


For Stop Loss carriers, MGUs, and Captives, having an innovative AI partner who provides timely, accurate data and industry-leading match rates gives you the clearest picture of risk and the competitive edge you need to grow your business more profitably.  


“Gradient AI’s solution is not meant to be a standalone underwriting tool. It is advanced decision support. Conduct your due diligence. Do a pilot. Do a proof of concept. If you want to see where our competitors will be in the future, look at Gradient AI today.”  - Matt Weaver, Senior Sales Director, Gradient AI


To learn more about AI underwriting solutions for stop loss carriers, MGUs, and captives contact Matt Weaver, Senior Sales Director, or Jon Russ, Senior Account Executive.



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