Job Description

• Risk Management

• Assess risk parameters associated with various health products as per defined underwriting guidelines to ensure coverage of future liabilities and minimization of loss ratios for BAGIC\xe2\x80\x99s retail health and PA business
• Provide underwriting inputs for the allocated cases in the scrutiny policy processing module
• Support the team in tackling rejection cases in terms of drafting responses and following up on the closure process
• Review and identify any gaps/areas of improvement in undertaking decisions and accordingly coach the external partners
• Prepare and analyze loss ratio data to identify trends and suggest process improvements, new initiatives, loss control measures in retail health & PA portfolio

• Query handling via Tele Underwriting

• Address and resolve pan-India retail health and personal accident (PA) underwriting related queries coming from IMDs, agents for the retail health products within the set turnaround time (TAT) via the telephonic medium
• Effectively utilize the telephonic and Whatsapp mediums to provide prompt advisory support to all external partners by coordinating with internal teams.
• Assess the underwriting guidelines and case details thoroughly before approving any risk undertaking so as to minimize losses.
• Own the official email id for health underwriting queries; monitor, address and revert to all medical queries on the platform
• Evaluate and ensure timely action for all non-disclosure claims cases

• System Development

• Advise on system changes required to bridge the gap between policy issuance and claims redressal processes
• Provide inputs for technology upgrade of the underwriting system in terms of building the system logic and risk control measures
• Document relevant data and inputs in the desired templates for technology implementations.

• Training

• Conduct trainings for the internal teams/IMDs on underwriting guidelines, processes on a periodic basis for the allocated zone
• Maintain and share periodic reports on trainings and their outcomes to the reporting authority.
• Prioritization of requests and tactical handling of queries to avoid escalations
• Coordinate with various internal teams and quickly retrieve data from the internal systems and platforms to provide a speedy response to queries
• Risk Management
• Assess risk parameters associated with various health products as per defined underwriting guidelines to ensure coverage of future liabilities and minimization of loss ratios for BAGIC\xe2\x80\x99s retail health and PA business
• Provide underwriting inputs for the allocated cases in the scrutiny policy processing module
• Support the team in tackling rejection cases in terms of drafting responses and following up on the closure process
• Review and identify any gaps/areas of improvement in undertaking decisions and accordingly coach the external partners
• Prepare and analyze loss ratio data to identify trends and suggest process improvements, new initiatives, loss control measures in retail health & PA portfolio
• Query handling via Tele Underwriting
• Address and resolve pan-India retail health and personal accident (PA) underwriting related queries coming from IMDs, agents for the retail health products within the set turnaround time (TAT) via the telephonic medium
• Effectively utilize the telephonic and Whatsapp mediums to provide prompt advisory support to all external partners by coordinating with internal teams.
• Assess the underwriting guidelines and case details thoroughly before approving any risk undertaking so as to minimize losses.
• Own the official email id for health underwriting queries; monitor, address and revert to all medical queries on the platform
• Evaluate and ensure timely action for all non-disclosure claims cases
• System Development
• Advise on system changes required to bridge the gap between policy issuance and claims redressal processes
• Provide inputs for technology upgrade of the underwriting system in terms of building the system logic and risk control measures
• Document relevant data and inputs in the desired templates for technology implementations.
• Training
• Conduct trainings for the internal teams/IMDs on underwriting guidelines, processes on a periodic basis for the allocated zone
• Maintain and share periodic reports on trainings and their outcomes to the reporting authority.
• Prioritization of requests and tactical handling of queries to avoid escalations
• Coordinate with various internal teams and quickly retrieve data from the internal systems and platforms to provide a speedy response to queries