01Overview
The role holder will lead the underwriting, Reinsurance and medical management team to ensure greater underwriting effectiveness, and improve customer experience. This includes maximizing the protective value of underwriting, reduce volatility of the claims experience and create a sustainable and profitable operating model. The Jobholder will work closely with the Director - Operations & Customer Service in formulating policy, serving and Underwriting standards to assess new business within acceptable risks.
He/she will also have the overall responsibility for strengthening the business areas commercial operations through awareness of the market conditions. The role holder will be required to design Guidelines for an effective and efficient underwriting and to ensure that Life Insurance venture provides professional underwriting service to its clients and maintain healthy levels of profitability, growth and development. The role holder will also be required to support automation in department, support product design and create underwriting guidelines for new products and group guidelines. Key responsibility areas:
Governance of Underwriting and Claims for life and health insurance
Develop and implement underwriting and claims principles, guidelines and standards
Provides deep technical leadership on product development, medical, financial, and non-medical underwriting and claims adjudication
Continuously contributes to development of the organization's Underwriting and Claims philosophies by monitoring emerging trends and best practices
Recommends and implements changes to the underwriting , Risk assessment and claims philosophies, methodologies, practices, processes, and technologies
Ensures Underwriting and Claims leaders maintain up to date required underwriting and claims knowledge and skills
Govern the performance of Third Party Administrator to ensure SLAs are met;
Analyse Underwriting practice, including product and underwriting effectiveness
Key Responsibility Areas
Risk Assessment and Underwriting for complex medical and
Financial cases (HNI cases)
Ensuring Quality of Underwritten proposals
Lead a team of medical underwriters and claims assessors to provide exceptional customer experience to individual and group customers, as well as brokers;
Redefine processes, and underwriting rules development, to facilitate automation of simpler underwriting;
Carry out underwriting audits and other underwriting and related projects;
Resolve escalated underwriting and claims issues and appeals with flexible solutions;
Source and develop training programs for uplifting teams professional knowledge and standard of the teams;
Recommend underwriting authority limits and training to the team of underwriters
Conducting and ensuring Audit and compliance adherence
Manage Medical Test and report management process- Develop a robust medical service network to support distribution channel
Automations, process transformation and System enhancements
Manage New initiatives/projects and Partner Integration
Managing Underwriting production: Retail, Digital business Group business Underwriting and servicing
Establish Underwriting procedures: and guidelines to support business requirements
Focus on competitor, economic and industry developments and make changes and modifications accordingly in the existing procedures
Ensure Clarity of content while communicating technical information in a concise manner
Provide underwriting and medical support for the assessment of claims
Liaison and negotiations with Reinsurance for competitive Underwriting and product guidelines and effective services
By ensuring daily business volumes are managed. Ensure desired productivity levels are achieved on a daily basis Address Sales queries and escalation
Govern the performance of Third Party Administrator to ensure SLAs are met
Customers / Stakeholders
Bank partner sales query resolution
Technical assistance to various departments
Interactions with Business Partners: Continuously interact with the key stakeholder and seek proactive feedback. Constantly benchmark our Underwriting and Risk practices with those in the industry
Leadership & Teamwork
Ensure better supervision of team
Skilled team management and training and development of team mem .