Underwriter (Associate through Senior, DOE)

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This position could be for an Underwriter, a Senior Underwriter, or an Associate Underwriter, depending upon the experience the candidate brings. An Underwriter is an intellectually curious and proactive professional who, under minimal supervision, uses independent judgment with adherence to authority guidelines and consultation with management and other departments as appropriate, to handle coverage inquiries of new and existing business; determine and/or recommend risk acceptance; and develop pricing, after review and analysis. An Underwriter services an assigned book of business with a focus on large complex accounts, with an emphasis on retention, maintaining policyholder relationships and customer service. In addition, an Underwriter proactively supports the acquisition of new business through well-developed relationships with brokers and other intermediaries.

  • Responds to policyholder inquiries, providing exceptional quality customer service.
  • Performs effective risk analysis and approves acceptance or declination of new business, renewals and coverage changes.
  • Ensures compliance with Underwriting Department guidelines and manuals, as well as federal and state insurance laws and regulations.
  • Educates policyholders of terms and conditions of coverage and offers appropriate objective guidance to aid coverage decisions.
  • Effectively prepares, presents, and documents recommendations to be presented to colleagues, policyholders and potential policyholders.
  • Studies trends and current developments within the medical communities in the states in which MIEC operates, and nationally.
  • Performs underwriting reviews, conducts research to obtain relevant underwriting information, and maintains confidentiality.
  • Attends meetings with policyholders and other stakeholders, and attends industry conferences, as required.


  • Bachelor’s degree preferred.


  • Maintain Agent/Broker’s license (from state of Residence); if not currently licensed, must obtain license within ninety (90) days of hire. Must also obtain non-resident license in CA.
  • Insurance industry designation(s) (CPCU, RPLU, ARM, CPHRM, AINS, etc.) preferred.
  • A valid driver’s license.



  • Demonstrated sound independent judgment and strong analytic ability in risk selection and pricing development and recommendations.
  • Familiarity with medical malpractice industry topics, changes and best practices.
  • Ability to maintain effective working relationships with public and other professionals, and teamwork with colleagues.
  • Proficiency with Microsoft Office Suite, as well as other business-related software.
  • Willingness to engage in identifying and/or proposing best practices, or process improvements.
  • Comfort with a structured, process-based approach to underwriting, including limitations in levels of authority.
  • Strong time management, prioritization and planning skills, thoroughness and attention to detail.
  • Strong oral and written communication skills and customer service skills.
  • Ability to travel with overnight stays, as needed.
  • 401(K)/Pension Plan
  • Health Insurance
  • Vision and Dental Insurance
  • Generous Paid Time Off Plans

Salary based on experience.

MIEC offers competitive compensation commensurate with experience and a comprehensive benefits package.

MIEC is an EEO employer, we enjoy diversity in our staff, insured and our business partners.


If you are interested and qualified, please apply via the LinkedIn job listing. Only direct applicants will be considered.  This position is not eligible for visa sponsorship.

About MIEC:

MIEC was founded in 1975 in the depths of the malpractice crisis by physicians and their medical societies when insurance was largely unavailable to the healthcare community. As the West’s first truly physician-owned medical professional liability insurer, MIEC has always been guided by the desire to protect physicians and other healthcare professionals from malpractice risks and committed to a long-term philosophy of business conduct that ensures such a crisis never happens again. We exist to foster enduring partnerships within the healthcare community by serving members through a philosophy of vigorous protection and high value, delivered by people who care.

As a member-owned exchange Headquartered in Oakland, CA, MIEC now insures more than 7,400 physicians and other healthcare professionals in 4 states, with regional claims offices in Idaho, Alaska, and Hawaii. MIEC has consistently adapted to meet the changing needs of healthcare delivery and continually seeks to reinvent medical professional liability through effective partnership, innovative insights, and dynamic risk solutions.