Senior Underwriter - Accident & Health (A&H)

About the role

AXIS Capital, a global provider of specialty lines insurance and reinsurance, is looking for a Senior Underwriter for its Accident & Health division in London. The role supports the global business plan through profitable underwriting, portfolio management and broker relationship development, covering a broad portfolio of A&H risks across traditional and delegated authority channels.

Key responsibilities

• Underwrite new and renewal A&H business within delegated authority and underwriting guidelines, ensuring profitability and portfolio sustainability.
• Build and manage relationships with brokers, clients, MGAs and other distribution partners, and identify and execute new business opportunities.
• Negotiate terms, conditions, pricing and coverage structures while maintaining underwriting discipline.
• Monitor portfolio performance and take corrective action to meet underwriting and financial targets.
• Work with actuarial and data analytics teams on pricing adequacy, claims trends and emerging risks.
• Support delegated authority arrangements such as Coverholders, Binding Authorities and program business.
• Ensure compliance with underwriting authorities, regulatory requirements and internal governance.
• Represent AXIS in broker meetings, client presentations and industry events, and mentor junior underwriters.

Required profile

• Significant underwriting experience in Accident & Health, ideally in the London Market.
• Strong technical knowledge of individual and group A&H products and experience managing portfolios against profitability and growth objectives.
• Ability to build broker and client relationships and to negotiate effectively.
• Understanding of Lloyd's, FCA, PRA and other regulatory requirements.
• Ability to work independently within a global organisation.

Required skills

• Microsoft Office: Excel, PowerPoint, Word, Outlook and Power BI.
• Preferred: knowledge of delegated authority structures, portfolio management tools, actuarial pricing models and exposure management.
• Preferred: ACCII qualification or equivalent, and experience mentoring junior underwriters.

What we offer

• Medical plans for you and your family, wellbeing programmes and retirement benefits.
• Tuition reimbursement, paid vacation and a competitive benefits package.
• Target incentive compensation based on corporate and individual performance.

The role typically requires attending the office at least three days per week, domestic and international travel, and representing the business internally and externally.