VP Specialty Healthcare

At DUAL North America, our core values dictate how we live and work. We are a group with independence and people at its heart and we are a home for talent with a unique culture: the biggest small company in the world. The focus on being a People First business has always been at the very heart of the Group; Our vision was to create an independent business with a unique culture and one that would survive and thrive as a business controlled by the people working for it. And finding the most talented and entrepreneurial people to join the Group has been and will continue to be key.

DUAL North America, Inc. is seeking a VP Specialty Healthcare Classification: Exempt/Full-time Reports to: EVP Underwriting, Healthcare Travel: Up to 15% Salary: $175,000 - $250,000 Location: Atlanta, GA, Chicago, IL, New York, NY, San Diego, CA, Hybrid Role overview DUAL North America is seeking a Senior Vice President in Underwriting for the Healthcare division.

The Senior Vice President (SVP) plays a tactical leadership role in shaping and executing underwriting strategies, balancing strategic leadership with hands on involvement in complex underwriting matters and high‑impact initiatives. The SVP manages risks, ensures adherence to underwriting guidelines, acts as an escalation point for managers and professional staff, and drives performance against underwriting goals and metrics. Leading a team of Healthcare Underwriters, you will utilize your expertise in healthcare underwriting and exceptional leadership skills to ensure profitable portfolio management.

Role responsibilities

• Manage a small to mid‑sized team and is responsible for performance evaluations, hiring and recruiting, and termination decisions
• Define team production goals that align to division goals, and drive execution in both a hands‑on fashion while also accomplishing work often through direct reports
• Review referrals from team members
• Curate a portfolio of business in accordance with Underwriting Guidelines and prescribed pricing tools within UW guidelines; may provide input to governance and defining underwriting guidelines
• Owns division level projects or initiatives outside of direct area of expertise to gain knowledge and exposure to larger organizational operations
• May manage budget for a small team or portion of the division, including staffing and T&E costs
• Working level knowledge of capacity and expectation to build relationships with capacity providers
• Act as Subject Matter Expert for their respective business to peers and leadership and those within their team
• Demonstrates advanced understanding of technical underwriting principles and risk underwriting characteristics which could include more nuanced risks, limits, and how to price them
• Execute on annual new and renewal business goals by achieving agreed premium income and hitting quote numbers with desired hit ratios and retentions, and ensuring the team is executing on these goals as well
• Foster and build new relationships with key producers – expectation is to gain more business
• Underwriting Authority: Has Underwriting authority as outlined in LOA

Key requirements

• Bachelor’s degree in risk management, finance, business, or a related field preferred
• 8-12 years of healthcare underwriting experience required; Surplus lines and wholesale broker experience preferred
• Professional certifications such as CPCU, AU, or similar designations preferred
• In-depth understanding of technical underwriting principles and risk assessment
• Strong analytical, negotiation, and decision‑making skills
• Proven ability to manage and build broker and client relationships
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
• Demonstrated ability to handle complex risks with sound judgment
• Highly self‑motivated with strong attention to detail
• Ability to travel up to 15% or more as required for client meetings, conferences, or industry events
• Must be able to remain in a stationary position approximately 50% of the time, with occasional movement throughout the office to access files and equipment

What we offer: A career that you define. Yes, we offer all the usual rewards and benefits - including medical, dental, vision, a wide variety of wellbeing offers, competitive salary, unlimited PTO, 401k with company match, paid volunteer days and more. We provide an environment where new ideas are encouraged and celebrated, where people who want to have a real hand in our success thrive. We want people who want to make a difference - not just in the workplace, but in the industry and in the wider community.

EOE Statement: We consider our people our chief competitive advantage and as such we treat colleagues, candidates, clients, and business partners with equality, fairness, and respect. DUAL North America provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. DUAL will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Howden began in 1994, as just three people and a dog. Now there are 23,000 of us, and we’re a leading global insurance group, managing $37bn of premiums for our clients. Our largest shareholder group is us – the people who work in the business – supported by three long‑term, minority growth‑equity partners who share our vision to build a business to last, one that will never be sold. The owner's mindset is something that’s embedded in our culture; our people readily take ownership of their decisions, their actions, and their outputs. They’re invested in every sense. And we all know that by working together to drive the business forward, everyone will benefit from the extraordinary results we can achieve.