Doctors Co

VP Underwriting

Doctors Co$150K — $200K *
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience
  • RPLU or CPCU preferred
  • 10+ years of underwriting experience in professional liability or related specialty lines
  • Proven experience in underwriting complex risks with significant authority
  • Deep knowledge of professional liability products and industry dynamics

Responsibilities

  • Independently underwrite complex professional liability risks
  • Evaluate risk characteristics and pricing for profitable growth
  • Provide technical input into underwriting guidelines and policy forms
  • Review non-standard submissions and give expert recommendations
  • Maintain accountability for book of business performance
  • Develop relationships with key brokers and clients
  • Contribute to product development and segment strategy

Benefits

  • Opportunities for professional development and certifications
  • Collaborative work environment with a focus on excellence
  • Support for travel to industry meetings and events
  • Mentoring opportunities in a high-performance culture
Full Job Description
The Vice President, Underwriting is responsible for executing underwriting, product, and distribution strategies within the Hospital/Complex Risk underwriting segment. This role brings advanced technical expertise, sound underwriting judgment, and strong market credibility to the organization. The VP Underwriter independently underwrites hospitals/health systems and other complex risks, manages key broker and customer relationships, and contributes expert insight to underwriting guidelines, coverage forms, pricing tools, and portfolio strategy.

Primary Responsibilities

Underwriting & Technical Expertise
  • Independently underwrites complex and high-severity professional liability risks within granted authority and established guidelines.
  • Evaluates risk characteristics, coverage structures, pricing, and terms to support profitable and sustainable growth.
  • Provides technical input into underwriting guidelines, policy forms, endorsements, and rating tools.
  • Reviews non-standard or escalated submissions and provides expert recommendations.
  • Participates in claim reviews and applies claim learnings to underwriting decision-making.

Portfolio & Financial Performance
  • Maintains accountability for the performance of the assigned book of business.
  • Reviews portfolio, rate, retention, and loss trends; identifies emerging risks or opportunities.
  • Recommends underwriting actions or adjustments to appetite, terms, or pricing based on market and portfolio insight.
  • Partners with underwriting leadership to support financial targets and portfolio objectives.

Distribution & Market Engagement
  • Develops and manages strong working relationships with key brokers, producers, and customers.
  • Serves as a senior technical and market-facing representative of TDCSU.
  • Supports new business development efforts through technical credibility, responsiveness, and consultative engagement.
  • Participates in broker meetings, presentations, and market visits as needed.

Strategic & Organizational Contribution
  • Contributes underwriting expertise to product development, segment strategy, and planning efforts.
  • Provides informed insight to underwriting leadership regarding market conditions, competition, and emerging trends.
  • Collaborates cross-functionally with claims, operations, actuarial, and distribution partners to support underwriting outcomes.
  • Promotes strong underwriting discipline and consistency across the organization.

Culture, Values & Knowledge Sharing
  • Demonstrates and promotes TDC values and professional standards.
  • Serves as an informal mentor and technical resource to peers and junior underwriters.
  • Shares best practices, underwriting judgment, and market insights to elevate overall underwriting capability.
  • Fosters a collaborative, high-performance underwriting culture.

Qualifications

Education
  • Bachelor's degree (BA or BS) or equivalent experience

Licenses / Certifications
  • RPLU or CPCU preferred

Experience
  • Minimum of 10 years of underwriting experience in professional liability or related specialty lines
  • Demonstrated experience underwriting complex risks with significant authority

Knowledge & Skills
  • Deep knowledge of professional liability products, coverage structures, and industry dynamics
  • Strong underwriting judgment and analytical skills
  • Effective relationship management and communication skills
  • Ability to work independently and collaborate across functions
  • Willingness and ability to travel as needed


About Doctors Co

The Doctors Company is a medical malpractice insurance company that provides professional liability insurance to physicians, surgeons, and other healthcare professionals. The company offers coverage for medical malpractice claims, as well as risk management and patient safety programs. The Doctors Company was founded in 1976 and is headquartered in Napa, California. The company has over 1000 employees and serves over 82,000 members nationwide.
Learn more about Doctors Co
Size
1,000 employees
Industry
Founded
1976

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