Vice President US Health

3 days ago


New York, United States Garrison Associates LLC Full time

Leading writer of Property & Casualty Reinsurance is seeking a VP of A&H Underwriting. I have been supporting this client for 20+ years and I can sincerely say they have the best, most employee centric, corporate culture of any client I’ve worked with. Their global team shares a passion for solving their customers’ problems through a collaborative and entrepreneurial culture that empowers employees and rewards creative thinking.


· This is a hybrid position located in midtown Manhattan very close to all major transportation hubs. Position also requires some travel, primarily within the US.


For over three decades, the firm has helped their clients manage the risks of operating in a volatile and uncertain world. They are experts in Property, Casualty, Specialty, and Credit reinsurance, consistently recognized for the innovative way they combine data, experience and technology to understand and manage large and complex risks across the world. They are also a business with a real social purpose - they help protect communities around the globe and enable prosperity for all. Their purpose drives the firm forward every day as they seek solutions to some of the world's most complicated challenges.


About A&H Underwriting

The firm is a market-leading accident and health reinsurer with an excellent track record of strong underwriting results. We offer international capabilities and a wide range of solutions to client insurers and health plans, including reinsurance coverage for medical excess, employer stop loss, travel, accident, disability, ancillary medical and occupational accident coverages.


Their success is grounded in our highly technical underwriting approach, our dedication to establishing and cultivating trusted relationships with long-standing clients, and our ability to provide innovative solutions and unparalleled service. Our diversity of experience and collaborative culture enable us to create solutions tailored to our clients’ needs.


About the Position

As a leader in US A&H reinsurance market and with a newly expanded footprint, the firm is in a unique position to leverage their global expertise to grow their team. They are seeking an experienced and collaborative professional to join our dynamic global team.


Reporting directly to the SVP, Global Head of A&H, the VP, A&H Underwriting, is responsible for the analysis, production, marketing, and underwriting of A&H reinsurance business in the US. In addition to a strong understanding of the US health insurance market, the ideal candidate will have direct insurance or reinsurance experience with a broad range of A&H products. Energized by the opportunity to help grow a business in an entrepreneurial environment, they will enjoy rolling up their sleeves across multiple dimensions, from day-to-day underwriting and client support to developing and cultivating client relationships to working with analytics partners on modelling and reporting. This individual will serve as an A&H subject matter expert both internally and externally and proactively explore ways to grow our business profitability.


Key Relationships

Reports to: SVP, Global Head A&H

Key stakeholders & partners: President of US Platform, Global Head of Specialty, regional A&H leaders, Actuarial Pricing, IT, Risk, Legal, Operations, Business Development


Key Responsibilities

Structure and underwrite A&H reinsurance treaties, with particular focus on US health and travel deals

Develop and deepened and existing client relationships reflective of our commitment to long-term partnerships and tailored solutions that evolve with our clients’ needs

Act as a resource on A&H market trends and the broader health insurance environment both internally and externally; serve as a subject matter expert for clients and staff on A&H products

Communicate the firm’s underwriting approach effectively to both brokers and clients

Seek ways to leverage our entire platform by identifying creative and multifaceted solutions

Evaluate, challenge, communicate, and apply model results to underwriting discipline

Promote and strengthen the risk management culture through active use, development, and continuous improvement of proprietary and other risk modelling, data analysis, and reporting tools

Operate collaboratively in our integrated system, designed to break down silos to create effective partnerships across underwriting, technology, regional platforms, and corporate functions

Mentor, train, and develop junior talent


Candidate Qualifications:

  • At least 7+ years of relevant experience in underwriting, product development, and/or pricing, preferably at a US health insurer or A&H reinsurance company
  • Demonstrated expertise analyzing multiple classes of A&H exposure; experience with health insurance required, additional experience in travel, special risks and/or accident products preferred
  • Proven ability to manage and grow client relationships; listening skills and horsepower to identify and address risk needs of the highly regulated and continually evolving US health insurance market
  • Knowledge of the A&H underwriting process, including an understanding of client and intermediary relationships, and terms and conditions of A&H (re)insurance
  • Technical acumen to navigate complex risk systems to support pricing and portfolio management functions; modelling and programming helpful but not required
  • Deep understanding of policy forms, pricing schemes and the role and impact of actuarial, finance and claims in the underwriting process
  • Intellectual curiosity, love for data, and drive for continuous development
  • Excellent interpersonal, presentation, written, and verbal communications skills with ability to communicate professionally at all levels of the organization as well as externally with key clients, brokers, and vendors
  • A keen focus on profitability by matching desirable risk with the most efficient capital
  • Undergraduate degree or equivalent expected; MBA or similar post-graduate degree preferred


Leadership Competencies & Values:

Impact: Sets objectives, delivers results, and implements policies/operational targets with direct impact on the department or individual work outcomes

Execution: Proactively identifies resources, actions and timelines needed to achieve objectives, effectively balancing tactical pressures with broader implications and downstream impact

Communication: Shares relevant information in a timely manner with stakeholders and conveys points of view in a way that influences opinions and demonstrates flexibility

Client and solutions focus: Identifies process and service opportunities that enhance the external and internal client experience and outcomes

Innovation: Stretches self and others to think differently and innovatively, drawing upon multiple sources for ideas and inspiration

Learning mindset: Seeks out and explores new assignments, exposure, or challenges in order to enhance technical skills

Values: Exemplifies and champions the firm’s core values of Focus, Respect, Integrity, Precision, Passion



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