<?xml version="1.0" encoding="UTF-8"?>

<!--XBRL Document Created with the Workiva Platform-->
<!--Copyright 2026 Workiva-->
<!--r:019d4eaa-e048-7f51-95e6-b1de869fe5c3,g:6aef62cc-3371-4ac6-81a3-c7df7828e214-->
<link:linkbase xmlns:link="http://www.xbrl.org/2003/linkbase" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.xbrl.org/2003/linkbase http://www.xbrl.org/2003/xbrl-linkbase-2003-12-31.xsd">
  <link:roleRef roleURI="http://www.proassurance.com/role/DocumentandEntityInformationDocument" xlink:type="simple" xlink:href="pra-20260626.xsd#DocumentandEntityInformationDocument"/>
  <link:presentationLink xlink:role="http://www.proassurance.com/role/DocumentandEntityInformationDocument" xlink:type="extended">
    <link:loc xlink:type="locator" xlink:label="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CoverAbstract"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentType_019d4eaa-e048-78b7-8c2a-4f54d0df0d26" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentType"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_DocumentType_019d4eaa-e048-78b7-8c2a-4f54d0df0d26" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityRegistrantName_019d4eaa-e048-7509-b34f-3e9d42471a6e" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityRegistrantName"/>
    <link:presentationArc order="2" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityRegistrantName_019d4eaa-e048-7509-b34f-3e9d42471a6e" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityIncorporationStateCountryCode_019d4eaa-e048-7a73-bb23-60a4fa64f8cd" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityIncorporationStateCountryCode"/>
    <link:presentationArc order="3" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityIncorporationStateCountryCode_019d4eaa-e048-7a73-bb23-60a4fa64f8cd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityFileNumber_019d4eaa-e048-70aa-ad1c-5ebc4ead1cb9" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityFileNumber"/>
    <link:presentationArc order="4" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityFileNumber_019d4eaa-e048-70aa-ad1c-5ebc4ead1cb9" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityTaxIdentificationNumber_019d4eaa-e048-7d8a-8073-ce143da3a570" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityTaxIdentificationNumber"/>
    <link:presentationArc order="5" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityTaxIdentificationNumber_019d4eaa-e048-7d8a-8073-ce143da3a570" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityCentralIndexKey_019d4eaa-e048-7131-b53d-0aef30b1df5b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityCentralIndexKey"/>
    <link:presentationArc order="6" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityCentralIndexKey_019d4eaa-e048-7131-b53d-0aef30b1df5b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_AmendmentFlag_019d4eaa-e048-7d55-bd03-f45de6872a9b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_AmendmentFlag"/>
    <link:presentationArc order="7" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_AmendmentFlag_019d4eaa-e048-7d55-bd03-f45de6872a9b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressAddressLine1_019d4eaa-e048-796b-835c-a4ae0b167c50" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressAddressLine1"/>
    <link:presentationArc order="8" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityAddressAddressLine1_019d4eaa-e048-796b-835c-a4ae0b167c50" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressCityOrTown_019d4eaa-e048-7201-a407-53cf89e128b6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressCityOrTown"/>
    <link:presentationArc order="9" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityAddressCityOrTown_019d4eaa-e048-7201-a407-53cf89e128b6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressStateOrProvince_019d4eaa-e048-7a82-aac1-5c454ebeb81d" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressStateOrProvince"/>
    <link:presentationArc order="10" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityAddressStateOrProvince_019d4eaa-e048-7a82-aac1-5c454ebeb81d" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityAddressPostalZipCode_019d4eaa-e048-76b7-9c90-4b20dfc467d7" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityAddressPostalZipCode"/>
    <link:presentationArc order="11" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityAddressPostalZipCode_019d4eaa-e048-76b7-9c90-4b20dfc467d7" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CityAreaCode_019d4eaa-e048-7535-b72c-de3f6cb36bb5" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CityAreaCode"/>
    <link:presentationArc order="12" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_CityAreaCode_019d4eaa-e048-7535-b72c-de3f6cb36bb5" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_LocalPhoneNumber_019d4eaa-e048-7e95-8200-9bf71cb1ea54" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_LocalPhoneNumber"/>
    <link:presentationArc order="13" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_LocalPhoneNumber_019d4eaa-e048-7e95-8200-9bf71cb1ea54" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_WrittenCommunications_019d4eaa-e048-77b8-9eb6-72fe5ab628a3" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_WrittenCommunications"/>
    <link:presentationArc order="14" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_WrittenCommunications_019d4eaa-e048-77b8-9eb6-72fe5ab628a3" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SolicitingMaterial_019d4eaa-e048-78d9-9601-e9dae15039ff" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SolicitingMaterial"/>
    <link:presentationArc order="15" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_SolicitingMaterial_019d4eaa-e048-78d9-9601-e9dae15039ff" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementTenderOffer_019d4eaa-e048-7ab1-84e2-ac39b99d361b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementTenderOffer"/>
    <link:presentationArc order="16" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_PreCommencementTenderOffer_019d4eaa-e048-7ab1-84e2-ac39b99d361b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_PreCommencementIssuerTenderOffer_019d4eaa-e048-79d4-9bae-c2e1aabe1ebd" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_PreCommencementIssuerTenderOffer"/>
    <link:presentationArc order="17" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_PreCommencementIssuerTenderOffer_019d4eaa-e048-79d4-9bae-c2e1aabe1ebd" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_Security12bTitle_019d4eaa-e048-73f6-ac87-40105d2075cb" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_Security12bTitle"/>
    <link:presentationArc order="18" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_Security12bTitle_019d4eaa-e048-73f6-ac87-40105d2075cb" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_TradingSymbol_019d4eaa-e048-76fe-b35a-0e8816a0494b" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_TradingSymbol"/>
    <link:presentationArc order="19" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_TradingSymbol_019d4eaa-e048-76fe-b35a-0e8816a0494b" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_SecurityExchangeName_019d4eaa-e048-749a-98aa-0a89bb5469a6" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_SecurityExchangeName"/>
    <link:presentationArc order="20" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_SecurityExchangeName_019d4eaa-e048-749a-98aa-0a89bb5469a6" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_EntityEmergingGrowthCompany_019d4eaa-e048-7c3b-9ada-5c02eb421eee" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_EntityEmergingGrowthCompany"/>
    <link:presentationArc order="21" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_EntityEmergingGrowthCompany_019d4eaa-e048-7c3b-9ada-5c02eb421eee" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentPeriodEndDate_019d4eaa-e048-75fd-80c5-de08732c6503" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentPeriodEndDate"/>
    <link:presentationArc order="22" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_DocumentPeriodEndDate_019d4eaa-e048-75fd-80c5-de08732c6503" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentInformationTable_019f03cd-4288-744f-b1e8-ef168cfb2591" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentInformationTable"/>
    <link:presentationArc order="23" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_CoverAbstract_019d4eaa-e048-7200-bb86-ecac2c88acd3" xlink:to="loc_dei_DocumentInformationTable_019f03cd-4288-744f-b1e8-ef168cfb2591" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_DocumentInformationLineItems_019f03cd-4288-76b4-a4e1-443c118b6073" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_DocumentInformationLineItems"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationTable_019f03cd-4288-744f-b1e8-ef168cfb2591" xlink:to="loc_dei_DocumentInformationLineItems_019f03cd-4288-76b4-a4e1-443c118b6073" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
    <link:loc xlink:type="locator" xlink:label="loc_dei_CurrentFiscalYearEndDate_019f03cd-4288-72df-912b-9b024e0f1bbe" xlink:href="https://xbrl.sec.gov/dei/2026/dei-2026.xsd#dei_CurrentFiscalYearEndDate"/>
    <link:presentationArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/parent-child" xlink:from="loc_dei_DocumentInformationLineItems_019f03cd-4288-76b4-a4e1-443c118b6073" xlink:to="loc_dei_CurrentFiscalYearEndDate_019f03cd-4288-72df-912b-9b024e0f1bbe" xlink:type="arc" preferredLabel="http://www.xbrl.org/2003/role/terseLabel"/>
  </link:presentationLink>
</link:linkbase>
