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US Healthcare Reinsurance Underwriting Lead

Axis Capital
tuition reimbursement
United States, New York, New York
Sep 11, 2025

This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We also proudly maintain an entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry.

At AXIS, we believe that we are only as strong as our people. We strive to create an inclusive and welcoming culture where employees of all backgrounds and from all walks of life feel comfortable and empowered to be themselves. This means that we bring our whole selves to work.

All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin or ancestry, citizenship, physical or mental disability, age, marital status, civil union status, family or parental status, or any other characteristic protected by law. Accommodation is available upon request for candidates taking part in the selection process.

US Healthcare Reinsurance Underwriting Lead

The US Health Reinsurance Underwriting Lead is a pivotal leadership role within our organization, a part of a team responsible for the overseeing a substantial $350+ million book of business. This role demands a seasoned professional with extensive experience in the reinsurance industry, particularly within the US health care market. The successful candidate will bring over 15 years of expertise, a robust network of industry contacts, and a proven track record of driving profitable growth.

Key Responsibilities:

Leadership and Underwriting Management:

  • Lead a small team of skilled underwriters, providing guidance, mentorship, and fostering a collaborative environment.
  • Work with the Head of US Healthcare Reinsurance in the develop and implementation of strategic underwriting plans to meet business goals and ensure profitability.
  • Promote a culture of continuous improvement, encouraging professional development and high performance.

Underwriting Excellence:

  • Provide input and take ownership in the underwriting process for health care reinsurance contracts, ensuring thorough risk assessment and accurate pricing.
  • Assist the underwriting Team in the evaluate complex reinsurance proposals, making informed decisions to balance risk and reward.
  • Work with the Head of US Healthcare Reinsurance and Accident & Health Pricing to continuously monitor the performance of the reinsurance portfolio, identifying areas for optimization and growth.

Client and Broker Engagement:

  • Cultivate and maintain strong relationships with clients, brokers, and key stakeholders in the US healthcare reinsurance market.
  • Negotiate reinsurance contract terms and conditions, striving for agreements that benefit all parties.
  • Represent the company at industry events, enhancing the company's visibility and expanding the professional network.

Market Analysis and Strategic Planning:

  • Stay informed about market trends, regulatory changes, and emerging risks within the US health care sector.
  • Work with the team and management to conduct comprehensive market research to identify new business opportunities and competitive advantages.
  • Provide input and assist in the development and execution of strategic initiatives to increase the company's market share and presence in the US.

Financial Oversight:

  • Manage the financial performance of your reinsurance portfolio.
  • Ensure the portfolio's profitability through effective risk management and pricing strategies.
  • Collaborate with US Healthcare Reinsurance team and A&H Pricing to analyze financial data and support strategic decision-making.

You may also be required to take on additional duties, responsibilities and activities appropriate to the nature of this role.

About You:

We encourage you to bring your own experience and expertise to the table, so while there are some qualifications and experiences, we need you to have, we are open to discussing how your individual knowledge might lend itself to fulfilling this role and help us achieve our goals.

What you need to have:

  • Bachelor's degree in business, Finance, Insurance, or a related field
  • At least 15 years of experience in reinsurance underwriting, with a focus on the US health care market.
  • A well-established network of industry contacts and a history of successful relationship management.
  • Strong analytical skills and the ability to make sound decisions based on complex risk assessments.
  • Proven leadership abilities, with experience managing and developing high-performing teams.
  • Profound understanding of reinsurance principles, practices, and regulatory requirements.
  • Proficiency in underwriting software, tools, and Microsoft Office Suite.

What we prefer you to have:

  • Advanced college degree
  • Actuarial designations such as Fellow of the Society of Actuaries (FSA), or Associate of the Society of Actuaries (ASA) is beneficial but are not mandatory.
  • While the focus is on the US market, experience with international healthcare reinsurance markets can provide additional insights and strategies.
  • Familiarity with advanced data analytics tools and software can enhance underwriting precision and efficiency.
  • Understanding the impact of emerging technologies like artificial intelligence on the reinsurance industry can be a plus.
  • Experience in related fields such as health care administration can provide a broader perspective on risk assessment.

Role Factors:

In this role, you will typically be required to: Travel up to 15%

If near an AXIS office, embrace our hybrid culture and be in the office 3 days per week.

For this position, we currently expect to offer a base salary in the range of $275,000 - $310,000. The specific salary offer will be based on an assessment of various factors, including the experience of the successful candidate and their work location. In addition, all employees are eligible for competitive incentive targets, with awards based on overall corporate and individual performance. On top of this, we offer a comprehensive and competitive benefits package, which includes medical plans for employees and their families, health and wellness programs, retirement plans, tuition reimbursement, paid vacation, and much more.

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