As of August 01, 2026, the average hourly rate for an Underwriting Director - Complex Medical in the United States is $79, which translates to an annual salary of about $163,383.
However, the hourly wage can vary significantly based on several factors. Here’s a detailed look at the typical pay range per hour:
Underwriting Director - Complex Medical Salaries by Percentile
| Annual Salary |
Monthly Pay |
Weekly Pay |
Hourly Wage |
|
|---|---|---|---|---|
| 75th Percentile | $174,970 | $14,581 | $3,365 | $84 |
| Average | $163,383 | $13,615 | $3,142 | $79 |
| 25th Percentile | $153,124 | $12,760 | $2,945 | $74 |
An Underwriting Director - Complex Medical's salary isn't a fixed number. It's shaped by several important factors. Below, we'll explore how your years of experience, geographic location, education and company size can directly affect your earning potential.
Experience is a primary driver of an Underwriting Director - Complex Medical's salary. As you build your skills and take on more complex tasks, your compensation generally increases. Here's how the average salary grows at different career stages:
| Job Role | Years of Experience | Average Salary |
|---|---|---|
| Health Underwriter | 2-4 years | $71,303 |
| Health Underwriter, Sr. | 4-7 years | $92,697 |
| Health Underwriting Manager | 7+ years | $131,662 |
| Underwriting Director - Complex Medical | 7+ years | $163,383 |
Underwriting Director - Complex Medical salary potential scales significantly with company size. Data shows that Enterprise companies (5,000+ employees) pay the highest average salary at around $176,774. While startup companies pay approximate $149,785.
| Company Size | Employees | Average Salary |
|---|---|---|
| Startup | 1~50 | $149,785 |
| Growth Stage | 51~500 | $158,365 |
| Established | 501~5000 | $170,756 |
| Enterprise | 5000+ | $176,774 |
Your level of education can impact your salary potential. While many Underwriting Director - Complex Medical enter the field with a Bachelor's Degree, higher education can lead to more specialized and higher-paying roles.
According to our 100% employer-reported salary data, the median salary for an Underwriting Director - Complex Medical with a Bachelor's Degree is between $153,220 and $161,564.
| Typical Education for Underwriting Director - Complex Medical | |
|---|---|
| Degree Level | % of user with this level of education |
| No Diploma | 75.0% |
| High School | 25.0% |
| Associates | 0.0% |
| Bachelors | 75.0% |
| Masters | 25.0% |
| Doctorate | 0.0% |
Understanding how an Underwriting Director - Complex Medical's annual salary breaks down can help with budgeting. Below, you can see the average hourly rate, weekly pay, and monthly pay for this role. Use the buttons to switch between different pay periods.
| Annual Salary | Monthly Pay | Weekly Pay | Hourly Wage | |
|---|---|---|---|---|
| 75th Percentile | $174,970 | $14,581 | $3,365 | $84 |
| Average | $163,383 | $13,615 | $3,142 | $79 |
| 25th Percentile | $153,124 | $12,760 | $2,945 | $74 |
Salaries for an Underwriting Director - Complex Medical can change over time, reflecting shifts in market demand and the overall economy. The median salary decreased from $164,396 in 2023 to around $161,260 in 2025, reflecting changes in demand, location, experience, and the wider economy. For a detailed analysis of Underwriting Director - Complex Medical salary trends, .
| Year | Average Annual Salary |
|---|---|
| 2022 | View More |
| 2023 | $164,396 |
| 2024 | $162,752 |
| 2025 | $161,260 |
| 2026 |
View More
|
| 2027 |
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|
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Directs and oversees the team responsible for reviewing and analyzing the most complex medical applications for policies like life, disability, or critical illness health insurance. Monitors the evaluation of an applicant's medical history, including a comprehensive review of medical records, detailed health questionnaires, laboratory and imaging results, prescription histories, and/or medical exam findings. Utilizes underwriting guidelines, rules, and standards to accept, reject, or mitigate risk for applications. Ensures compliance with all industry and governmental regulations. Requires a bachelor's degree. Typically reports to senior management. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function.
Salary.com salary estimates, histograms, trends, and comparisons are derived from both employer job postings and third-party data sources. We also provide multiple percentiles of salary information for your reference, click here to know Why the Salary Midpoint Formula Is Crucial to Getting Pay Equity Right. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target.
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