Senior Manager Medical Underwriting

Year    Gurgaon, Haryana, India

Job Description


General Information

Designation: Senior Manager/Manager

Role-UW transformation

Department/Function: Underwriting

Direct Reporting: Chief Manager- Underwriting

Highest Education:

Specialization in insurance

FALU /Fellowship

Graduate/Post graduate in any stream

Experience: 7+ Years Life Insurance Underwriting

Job Objective

  • Develop talented and motivated Digital Underwriting team who are focused on clear objectives, driven to achieve superior results and have opportunities for personal growth
  • Automate underwriting processes and ensure quality output to support business functions.
  • To ensure avoidance of breach of AML / Compliance guidelines/reinsurance approved guidelines
  • Adherence and management of Claims Re underwriting TAT
  • Drive Reinsurer engagement at strategic level
  • Evaluate emerging trends, competition practices, formulate options and propose recommendations on guideline to senior management.
Key Responsibility Areas

Key Result Areas

Activities

Impact on the Business ( UW & claims) / Function
  • Participate in new initiatives/projects and Partner Integration
  • Enabling and facilitating roll out of different products launched time to time and ensure guidelines are built in the system to avoid any process gap.
  • Promote NPS by promoting clear case % by identifying various opportunities.
  • Periodic surveillance & benchmarking of prevailing UW guidelines and practices to improve/improvise existing MLI UW guidelines practices
Audit and Compliance
  • 100% compliance to the implementation of reinsurance approved guidelines.
  • Pro-Active identification of open system issues and deploy fixes which can impact mortality and claims ratio.
  • Zero Surprise Observations in IRDAI Audits Post Process
  • Strengthening of UW quality through claims feedback, SIC culture, Robust training
Reinsurance alignment and support
  • Drive Reinsurer engagement at strategic level
  • Develop Strategic alignment with reinsurer on customized sourcing restriction, underwriting guidelines, underwriting/financial requirements and surrogates.
  • Strengthen reinsurance relationship through coordination and regular interaction
  • Highlight any deviation seen in UW approach and report outages to reinsurer to ensure no claim denial.
  • Ensure all UW treaties are reviewed & sign off within stipulated time.
  • Periodically update all repositories and guidelines. Publish the same on periodic basis.
  • Keep a track of all guidelines in chronological order.
Competition trend analysis & distribution /System alignment
  • Management and proper alignment of rules approved by reinsurer in system
  • Self-identification and quick fixes of open process issues which can impact mortality and claims ratio
  • Evaluate emerging trends, competition practices, formulate options and propose recommendations on guideline to senior management.
  • Governance and diligent check on various UW process and adherence to ensure no death claims reported on clear cases due to negligence/incorrect system rules
Training & QC
  • Able to understand underwriting logics and impart same knowledge to team
  • Validation of errors while doing QC/validation of clear case /underwritten base/claim re UW opinion cases
  • Periodically publishing dashboard of Claim and QC learning/outcomes.
Disclaimer:
  • The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job.
  • Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time.
  • \xe2\x80\x9cThe duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons.\xe2\x80\x9d
General Information

Designation: Senior Manager/Manager

Role-UW transformation

Department/Function: Underwriting

Direct Reporting: Chief Manager- Underwriting

Highest Education:

Specialization in insurance

FALU /Fellowship

Graduate/Post graduate in any stream

Experience: 7+ Years Life Insurance Underwriting

Job Objective
  • Develop talented and motivated Digital Underwriting team who are focused on clear objectives, driven to achieve superior results and have opportunities for personal growth
  • Automate underwriting processes and ensure quality output to support business functions.
  • To ensure avoidance of breach of AML / Compliance guidelines/reinsurance approved guidelines
  • Adherence and management of Claims Re underwriting TAT
  • Drive Reinsurer engagement at strategic level
  • Evaluate emerging trends, competition practices, formulate options and propose recommendations on guideline to senior management.
Key Responsibility Areas

Key Result Areas

Activities

Impact on the Business ( UW & claims) / Function
  • Participate in new initiatives/projects and Partner Integration
  • Enabling and facilitating roll out of different products launched time to time and ensure guidelines are built in the system to avoid any process gap.
  • Promote NPS by promoting clear case % by identifying various opportunities.
  • Periodic surveillance & benchmarking of prevailing UW guidelines and practices to improve/improvise existing MLI UW guidelines practices
Audit and Compliance
  • 100% compliance to the implementation of reinsurance approved guidelines.
  • Pro-Active identification of open system issues and deploy fixes which can impact mortality and claims ratio.
  • Zero Surprise Observations in IRDAI Audits Post Process
  • Strengthening of UW quality through claims feedback, SIC culture, Robust training
Reinsurance alignment and support
  • Drive Reinsurer engagement at strategic level
  • Develop Strategic alignment with reinsurer on customized sourcing restriction, underwriting guidelines, underwriting/financial requirements and surrogates.
  • Strengthen reinsurance relationship through coordination and regular interaction
  • Highlight any deviation seen in UW approach and report outages to reinsurer to ensure no claim denial.
  • Ensure all UW treaties are reviewed & sign off within stipulated time.
  • Periodically update all repositories and guidelines. Publish the same on periodic basis.
  • Keep a track of all guidelines in chronological order.
Competition trend analysis & distribution /System alignment
  • Management and proper alignment of rules approved by reinsurer in system
  • Self-identification and quick fixes of open process issues which can impact mortality and claims ratio
  • Evaluate emerging trends, competition practices, formulate options and propose recommendations on guideline to senior management.
  • Governance and diligent check on various UW process and adherence to ensure no death claims reported on clear cases due to negligence/incorrect system rules
Training & QC
  • Able to understand underwriting logics and impart same knowledge to team
  • Validation of errors while doing QC/validation of clear case /underwritten base/claim re UW opinion cases
  • Periodically publishing dashboard of Claim and QC learning/outcomes.
Disclaimer:
  • The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job.
  • Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time.
  • \xe2\x80\x9cThe duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons.\xe2\x80\x9d

Max Life Insurance

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Job Detail

  • Job Id
    JD3013900
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Gurgaon, Haryana, India
  • Education
    Not mentioned
  • Experience
    Year