AVP, Facilities Underwriting
Confirmed on the employer's own hiring board on Oct 23, 2026. First seen by Alion on Jul 22, 2026.
Associate Vice President, Facilities Underwriting (Remote)
Company Description
Healthcare providers spend roughly $20B annually on premiums for medical professional liability (“MPL”) insurance, $7B of which is spent by physicians. Primarily selling through brokers, insurance carriers today often operate at an underwriting loss and employ outdated underwriting processes. The current environment favors the entry of a new model featuring modern, data-driven underwriting with a more efficient sales model targeting the best risks.
Indigo Technologies, backed by leading investors Rubicon Founders and Oak HC/FT, aims to address this issue by utilizing alternative data and artificial intelligence to more accurately price medical malpractice insurance. By offering potential cost savings, Indigo Technologies will enable providers to reallocate resources to invest more directly in patient care. We at Indigo are committed to creating enduring value by making a measurable impact on the healthcare industry
Position Description:
Reporting to the CUO, the AVP of Facilities Underwriting will assist in all underwriting staff/teams, processes, and methods in order to write profitable business, as well as address issues adversely affecting underwriting results (loss ratio). This role promotes and supports growth opportunities while maintaining underwriting integrity. They will be responsible for managing a variety of key stakeholders in an environment that is results-oriented, rigorous, and fast-paced. Responsibilities include the following areas (though not limited to):
Roles & Responsibilities:
- Work with the CUO, Product/Engineering, Data Science, Actuarial, Claims, and the broader organization to build our Indigo’s Facilities offering, including UW Guidelines, Appetite Guides, Forms/Endorsements, and related materials
- Support the business in the production, selection, pricing, control, and servicing of insurance policies, and assists in developing and maintaining a scalable and repeatable underwriting process using Indigo’s model
- Analyze, evaluate, and make underwriting decisions in line with underwriting guidelines and recommendations, coordinating with other underwriting staff
- Manages and evaluates new business submissions, renewals, and policy change requests for the book of business
- Review contract wordings and act as signatory of insurance contracts
- Review, evaluate and report on loss activity
- Understands and complies with relevant state statutory regulations and requirements
- Collaborates with business development to build, strengthen, and manage relationships with agents/brokers
- Brings a curious mindset and motivation to better understand and apply a new, data driven approach to underwriting
Qualifications:
- 5+ Years as a Sr. Underwriter in Facilities/Medical Professional Liability Insurance (10+ Years in Underwriting; certifications/designations a plus)
- Strong familiarity with Facility types, Facility rating methodologies, high-risk indicators for Facilities, and relevant Facilities underwriting or risk mitigations (e.g., exclusions)
- Good understanding of the Facilities segment, top carriers, and larger brokers
- Demonstrates an ability to operate with urgency and consistently meet processing deadlines per Underwriting Service Standards.
- Familiarity with relevant regulatory requirements
- Production Underwriting experience will be considered an asset
Desired characteristics:
Smart, detail-oriented, mission-driven, entrepreneurial and operates with urgency