Analyses and monitors quality of medical risks underwritten and production of the team via performing clinical reviews, identify areas of improvement and consequence management
Develops, administers and monitors new medical underwriting rules and guidelines for indemnity and benefit products
Project lead for automating the evidence of insurability and medical underwriting process
Prepares clinical and medical recommendations based on data summaries, trend analysis, financial analysis, and business analysis.
Responsible for clinical and medical underwriting of health and benefit products
Prepares and may do presentations
Participates in cross-functional teams to develop new/enhanced systems, processes, programs, policies to support growing business needs
Monitor insurance industry underwriting practices through attendance of industry meetings
Manage TPA contracts and relationships performing the medical underwriting function for peak periods
Educates stakeholders on underwriting guidelines, practices & procedures through conference calls, visits and finalist presentations
Creates best practices and ensures consistent/efficient medical underwriting practice
Balance workloads to meet high priority needs of customer and employees
If interested kindly share your updated resume at firstname.lastname@example.org
please mention your current & expected CTC
Required Candidate profile10-12 years of Underwriting experience
Hands on experience on medical underwriting of retail health business
Well versed with automation needs and current capabilities available to meet expectations
Ability to independently manage vendor Should be well versed with IRDA Regulations and changing industry trends on Health Insurance
Proficiency is MS-office is desirable
Desired Candidate Profile
UG:MBBS - Medicine, BHMS - Any Specialization, B.U.M.S - Any Specialization, BDS - Dentistry, BAMS - Any Specialization, B.Pharma - Pharmacy
PG:M.Pharma - Pharmacy, DM - Any Specialization, Medical-MS/MD - Any Specialization, Neuro Surgery, Neuro Surgery, MDS - Any Specialization, Any Specialization
TopGear Consultants Pvt Ltd.
Contact Company:TopGear Consultants Pvt Ltd.