Long-Term Care Senior Underwriter - Medical Professional Liability

ProAssurance Corporation
Birmingham, AL

An exciting opportunity exists to join the ProAssurance family of companies!
The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have.

Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance?

At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm-and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States.

This position supports the Senior Living/Long-Term Care segment of our medical professional liability line of business and can be remote in the contiguous United States.

Senior Living/Long-Term Care professional liability underwriting experience is required.

The primary responsibility of the Senior Underwriter (Specialty) is to use underwriting authority to develop and build external relationships to write profitable new business and retain existing policyholders in an assigned territory and/or with assigned brokers. This underwriter will solicit, examine, accept, and reject insurance risks based on underwriting guidelines in all market segments of the program. This role will follow the underwriting authority granted them by the Vice President Specialty Underwriting. This position will classify and price acceptable accounts to meet underwriting profit goals and expense objectives; support underwriting colleagues with broader production responsibilities; and monitor, analyze, and report on the quantity and quality of assigned book of business. The Senior Underwriter has responsibility over larger, more complex accounts within a specialized segment of the specialty underwriting unit. This position will serve as a sounding board and mentor to the Underwriters.

What you'll do:

65% - Underwriting and Underwriting Profitability:

* Underwrite new and renewal submissions, with primary focus upon manual and experience rated accounts. Pursue new business opportunities while managing existing book of renewal business. Create terms and conditions for each applicant based on underwriting guidelines, program rates and coverage forms and authority level. Work closely with and collaborate with colleagues in all disciplines including Actuarial, Claims, and Risk. Adhere to Letter of Authority without exception. Will use advanced knowledge of pricing models and be proficient at working through the actuarial-underwriting nuances. May work with admitted and non-admitted accounts. Identify program risks, process improvement opportunities and claims trends. Refer accounts to the Production Team when appropriate.

15% - Relationship and Distribution Management:

* Expand new business opportunities in preferred classes of business through target accounts and brokers in all market segments. Arrange and conduct meetings with brokers/agents, and insureds/prospects to discuss terms and conditions, exposures, claims, and related concerns.

10% - Policy, Procedures, and Compliance:

* Document files and ensure compliance and audit-worthiness. Collaborate with other teams on cross-sell initiatives.

5% - Financial Results Management and Reporting:

* Assists in establishment of revenue budget and monitors performance against plan, while keeping keen focus upon loss ratio targets. Provide reporting to leadership to facilitate tracking and measurement of results.

5% - Innovation and Product Development:

* Keeps educated on evolving risks and exposures. Engages others about ways to improve the service and/or products that we provide. Encourages others, at all levels, to offer ideas and take initiative to vet those ideas.

What we're looking for:

* Bachelor's degree required with a preference for study in insurance, risk management, business administration or another business-related field.

* Minimum of at least seven years medical professional liability underwriting experience, with at least four of those years with specialty underwriting experience.

* CPCU, AIC, or ARM highly desired.

* Understanding of insurance and medical terminology and insurance and underwriting principles required.

* Previous professional liability experience required.

* Proficiency with Microsoft Office Suite.

* Excellent organizational and interpersonal skills; ability to work well within a team environment.

* Self-motivated and able to accomplish multiple tasks in a timely manner.

* Accomplished written and verbal communication skills.

* Analytical ability, to gather data and interpret information; request more information when data is incomplete and prioritize work.

* Ability to attend insurance and industry/business functions to promote and present a positive image of the Company.

* Proven self-starter with strong multi-tasking and relationship management skills.

* Able to make sound decisions and devise appropriate solutions.

* Able to review the work of others, provide feedback, and approve other underwriters' quotations.

* Strong negotiating skills.

* Excellent listening, speaking, writing, and presentation skills. Ability to process information logically.

* Meets work deadlines, excellent desk management skills.

* Solid knowledge of rating and documentation management and workflow systems.

* Able to create, build and develop superior relationships with agencies and internal colleagues.

#LI-Remote

We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally.

For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.

The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. A Talent Acquisition team member may review your application and contact you before the assessment is complete. These assessments are Behavioral and Cognitive (internal candidates will only receive the Behavioral assessment), and each assessment takes less than 12 minutes to complete.

After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox).

Position Salary Range

$87,599.00 - $144,553.00

The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role. xrczosw

Build your career with us and enjoy access to a best-in-class benefits program.

Posted 2026-06-06

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