Director - Underwriting, Hospital

Remote, USA • Full-time • Posted 2026-05-04

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The Director, Underwriting (Hospitals) is responsible for the management, analysis, and monitoring of a complex risk portfolio across small to mid-sized hospitals and healthcare organizations.
This role also serves as a people leader, managing a team of underwriters.
Responsibilities include but are not limited to the following: Develop and foster ongoing relationships with key distribution partners to drive new business opportunities and facilitate renewals in alignment with our risk appetite and profile.
Achieve new business objectives within the hospital and excess product line.
Ensure the achievement of continued profitability, growth and/or operational efficiencies for the hospital and excess book through assessment of risk tolerance, market appetite and emerging risk issues.
Evaluate underwriting performance in relation to established goals through financial analysis, including rates, operational, planning and product reviews.
Provide results to senior management and develop plans to attain underwriting goals.
Facilitate and deliver short- and long-range plans and budgets for profitable, organic growth in hospitals and excess business in line with the organization’s purpose.
Manage a team of underwriters with MPL and some HPL experience, including providing growth and development opportunities.
Identifies opportunities and gaps in current underwriting programs and makes recommendations to senior management for improvement.
Ensures compliance with underwriting filings with accompanying documentation.

A 4-year college degree or equivalent work experience
10+ years of underwriting experience, with at least 5 years focused on hospital liability/L/excess lines
Demonstrated leadership ability, previous management experience preferred
Chartered Property Casualty Underwriter designation (CPCU) and/or Registered Professional Liability Underwriter (RPLU) designation is a plus
Requires knowledge of underwriting principles and insurance policies
Strong written communication skills with the ability to provide concise reports, referrals, and summaries to senior management
Demonstrates strong negotiation, analytical, and critical decision-making skills
Excellent interpersonal skills with the ability to present effectively to large or small groups
Demonstrates technical ability to work with Microsoft Office
Ability to identify, analyze, and solve problems as well as adapt quickly to change
Excellent planning, time management, and prioritization skills
Strong commitment to customer service, quality, and working in a collaborative team environment.