Founding Wholesale Broker - Medical Malpractice

Hedgespecialty; San Francisco (CA); Hybrid; USD 350,000 - 600,000; Full time

Benefits offered by this job

Health benefits

Equity stake

Job summary

Hedge is hiring a founding wholesale broker to build and own our medical malpractice practice in San Francisco. You will blend retail-agency relationships, healthcare risk judgment, and placement craft to generate durable revenue across physicians and healthcare facilities.

Expect a high-earning role with a base salary range and significant upside. You will work closely with founders and underwriters to shape markets, submissions, and program paths, with equity at stake as the company scales.

Qualifications

• At least three years of brokerage, underwriting, or closely related experience in medical malpractice or healthcare professional liability.
• Commercial insurance knowledge and market access for healthcare risks.
• Strong ability to discuss books, producer relationships, and premium volume with specifics.

Responsibilities

• Build a focused retail-agency pipeline in medical malpractice and healthcare professional liability.
• Triage clinical operations, procedures, staffing models, loss history, limits, retroactive dates, and regulatory details.
• Shape 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 intake through bind.
• Build durable underwriter relationships and turn placement knowledge into repeatable playbooks.

Skills

Brokerage experience

Underwriting

Healthcare liability

Job description

Build the function, not just the task list.

The playbook is still being written. You will make decisions that become the standard for the people hired after you.

01 / OWNERSHIP

Build the function, not just the task list.

The playbook is still being written. You will make decisions that become the standard for the people hired after you.

Own real outcomes

02 / CRAFT

Learn insurance from the inside.

Work directly with founders, brokers, underwriters, and markets on the difficult commercial risks where judgment matters.

Build durable expertise

03 / UPSIDE

Exceptional performance should feel exceptional.

High target earnings, uncapped accelerators on quota roles, and meaningful equity align what you create with what you earn.

Earn with impact

Founding Wholesale Broker - Medical Malpractice

Employment Type

Full time

Location Type

On-site

Department

Brokerage

THE OPPORTUNITY

Hedge is hiring a founding wholesale broker to build and own our medical malpractice practice. You will combine retail-agency relationships, healthcare risk judgment, placement craft, and relentless follow-through to produce durable revenue across physicians, allied health, healthcare facilities, behavioral health, senior care, and complex healthcare services.

COMPENSATION AND UPSIDE

Target OTE is $500K. Base salary is $125K-$250K, creating a target cash range of $475K-$600K across the base range. Target variable compensation is $350K at $5M 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.

WHAT YOU WILL OWN

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

WHAT SUCCESS LOOKS LIKE

First 30 days: master Hedge's market access, healthcare appetite, submission standards, and current opportunity set

By day 60: own a credible agency and submission pipeline with clear placement strategies

By day 90: bind initial medical malpractice business and demonstrate repeatable conversion

In 12 months: build a high-quality healthcare book and bind $5M in annual new premium

WHO THRIVES HERE

You have at least three years of brokerage, underwriting, or closely related experience in medical malpractice or healthcare professional liability. You can discuss your book, producer relationships, carrier relationships, premium volume, and strongest healthcare classes with specific numbers. You are commercially sharp, technically credible, and disciplined about details.

WHY HEDGE

Hedge is building the operating system for commercial insurance distribution. You will work directly with the founders, own a consequential part of the company, and help define how the function works as we scale. We offer health benefits and meaningful equity.

WORK MODEL

This role is based in San Francisco and works in person with the team six days a week.

Hedge is an equal opportunity employer. We evaluate candidates based on ability, judgment, and potential, and we do not discriminate based on protected characteristics.