Founding Wholesale Broker - Medical Malpractice

Hedge Specialty • San Francisco, CA

21h • Onsite

About The Position

Hedge is hiring a founding wholesale broker to build and own its medical malpractice practice. The role combines retail-agency relationships, healthcare risk judgment, placement expertise, and follow-through to generate durable revenue across physicians, allied health, healthcare facilities, behavioral health, senior care, and complex healthcare services. The broker will own the practice's pipeline and placements, develop underwriter relationships, and create repeatable playbooks as Hedge scales its commercial insurance distribution business.

The role is based in San Francisco and works in person with the team six days a week. Target OTE is $500,000. Base salary is $125,000–$250,000, with a target cash range of $475,000–$600,000 across the base range. Target variable compensation is $350,000 at $5 million in annual new bound premium, with uncapped accelerators above target. Equity is 0.50% at hire, with up to an additional 0.25% performance grant.

Requirements

• At least three years of brokerage, underwriting, or closely related experience in medical malpractice or healthcare professional liability.
• Ability to discuss book of business, producer relationships, carrier relationships, premium volume, and strongest healthcare classes with specific numbers.
• Commercial sharpness, technical credibility, and discipline about details.

Responsibilities

• Build a focused retail-agency pipeline in medical malpractice and healthcare professional liability.
• Triage clinical operations, procedures, staffing models, patient mix, loss history, limits, retroactive dates, and regulatory details.
• Shape complete submissions and select the right carrier, MGA, and program path for each account.
• Negotiate occurrence and claims-made structures, prior acts, defense, consent-to-settle, exclusions, and excess layers.
• Explain coverage tradeoffs clearly and drive placements from first intake through bind.
• Build durable underwriter relationships and turn placement knowledge into repeatable playbooks.

Benefits

• Health benefits.
• Meaningful equity: 0.50% at hire, with up to an additional 0.25% performance grant.
• Target OTE of $500,000, with base salary of $125,000–$250,000, target variable compensation of $350,000 at $5 million in annual new bound premium, and uncapped accelerators above target.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed