Lead Surplus Underwriter

Senior Underwriter – Medical Professional Liability

Join Trans Re in this role:
Senior Underwriter – Medical Professional Liability.

We seek an experienced Underwriter to join our growing FAIRCO team in our New York City office. FAIRCO is a subsidiary of Trans Re Holdings, a Berkshire Hathaway company. This role offers an exciting opportunity to shape and grow a dynamic MPL portfolio by leveraging and cultivating strong broker relationships.

$140,000 – $180,000 per year.

In this role, the senior underwriter will drive high-quality medical malpractice submissions, strategically underwrite profitable business, and contribute to sustainable growth that enhances overall company performance. The ideal candidate combines strong industry relationships, market insight, and underwriting expertise to shape strategies.

• Underwrite healthcare business in accordance with company underwriting guidelines ensuring sound risk selection and enabling profitable growth for the portfolio.
• Build and maintain strong relationships with wholesale and retail insurance brokers to deliver customized insurance solutions for diverse healthcare accounts.
• Partner with internal teams to drive growth in the mental healthcare segment and identify opportunities in additional healthcare classes.
• Monitor MPL market trends and jurisdictional developments while executing targeted marketing initiatives to maintain competitive positioning, create new business opportunities, and strengthen FAIRCO’s leadership in the market.
• Collaborate with Claims, Product Leadership, and Actuarial teams to design and price customized insurance solutions—tailoring limits, coverage, and terms for complex risks requiring flexibility.
• Promote company products through marketing efforts, travel, and participation in industry conferences.

• 8+ years of experience underwriting medical professional liability on excess and surplus lines (E&S).
• Proven track record of managing relationships and leveraging established connections with wholesale & retail broker markets.
• Excellent analytical, negotiation, and communication skills.
• Ability and willingness to travel for client and broker engagement.

Trans Re is supportive of an agile work schedule, which may differ based on individual roles, local office practices and preferences, marketplace trends, and Trans Re’s business objectives. This position is eligible for a hybrid work schedule.

In addition to base salary, this position offers a comprehensive benefits package, paid time off, and incentive pay opportunity. The anticipated annual base salary range in New York for this position is $140,000 – $180,000, exclusive of benefits, paid time off, and incentive pay.

• Mid-Senior level

• Full-time

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