Senior Healthcare Underwriter

Senior Healthcare Underwriter – US & International
Location: London (Hybrid – flexible home/office)
Salary: c. £85,000 – £130,000 base + bonus & benefits (DOE)

The Opportunity
An established specialty (re)insurer is seeking a technically strong, proactive underwriter to join its growing Healthcare division. The team currently manages a $50m+ portfolio focused on US Hospital Professional Liability (HPL) and international healthcare risks and is looking to diversify toward a 50/50 US–International mix over the next three years.

You’ll work alongside the Head of Healthcare to shape strategy, manage complex risks, and maintain key broker relationships in a lean, entrepreneurial environment.

Key Responsibilities

• Underwrite US HPL and international healthcare risks within delegated authority as well delegated business.
• Lead technical analysis, pricing and modelling of complex accounts, including large loss datasets.
• Build and maintain broker and client relationships through regular market meetings and international conferences.
• Contribute to portfolio strategy as the team expands its international footprint.
• Travel for client visits and industry events in the US and overseas (all expenses covered).

Ideal Background

• Underwriting experience in healthcare/medical malpractice or related specialty casualty .
• Data-driven mindset with strong Excel/pricing-model skills.
• Self-starter who thrives in a lean team with limited day-to-day supervision.
• Excellent communication and relationship-building skills.
• US healthcare market knowledge is a plus, but candidates from other specialty lines or strong technical professionals looking to move into underwriting are encouraged to apply.

Why Apply

• Impact from day one: direct collaboration with the Head of Healthcare on a market-leading book.
• Flexibility: total hybrid working and autonomy over travel and client engagement.
• Competitive package: strong base salary, bonus potential and professional development support.
• Growth potential: opportunity to shape the future of a diversified international portfolio.

Bruin recognises the positive value of diversity, and aims to promote equality and challenge unfair discrimination. As a champion of equal opportunity employment we welcome applications from all suitably qualified persons – men and women, people of all ages, sexual orientations, nationalities, religions and beliefs. We particularly encourage applications from women, disabled, and Black, Asian and minority ethnic candidates as these groups are underrepresented throughout the financial services industry. Our clients work with us because they value a diverse workforce, and subscribe to our shared principle that all appointments are made on merit and that ability to perform the job will be the primary consideration.