JOB DESCRIPTION
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POST TITLE
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Senior Medical Underwriter
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JOB HOLDER
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REPORTING TO:
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Health Manager
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DIVISION/DEPARTMENT
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Medical Department
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LEVEL
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Role Size
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1. JOB PURPOSE
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Ensure business is professionally written to acceptable standards within the underwriting guidelines and arranged reinsurance program.
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2. PRINCIPAL ACCOUNTABILITIES.
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- Supervision of the medical underwriting section.
- Analyze Individual and/or Group medical risk factors for new enrollment, yearly renewals, and amendments of group insurance contracts and self-funded plans in compliance to established underwriting policies, practices, and standards.
- Analyze associated policies, guidelines, and market data to continuously improve risk management.
- Approve quotations.
- Ensure adherence to all process, procedures, and controls within the department.
- Ensure reinsurance allocations are done properly as per the treaty.
- Conduct trainings on various covers to underwriting team and intermediaries.
- Resolve internal control audit recommendations fully and ensure no issue automatically escalates.
- Ensure timely preparation, submission and follow up of renewal terms for corporate and retail business.
- Follow up on debt collection and reporting
- Ensure accurate benefits set up and membership maintenance in the system.
- Ensure timely scheme performance reporting as per SLA’s with clients and intermediaries and attend scheme performance review meetings as per set guidelines.
- Ensures that systems and procedures covering underwriting operations are adhered to and supervises the Underwriting section to ensure quality and timely service.
- Generate utilization reports, member statements, and loss ratio trends.
- Ensure compliance with standards of service/Customer service charter in all underwriting operations.
- Enforces the no – credit policy and ensures that premiums are up to date for section accounts through timely collection of premiums.
- Market company products to brokers, agents and walk in clients to maximize on new business acquisition strategies.
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3. DIMENSIONS
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Unit Measures And Impact:
Financial Measures And Impact: Department target (As per yearly set targets) billion
Value of Assets In charge:
Budget: Expense budget – As per yearly set targets
Revenue budget – As per yearly set targets
People Impact And Numbers:
Direct Reports:
Indirect Reports:
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4. RELATIONSHIPS
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REPORTING TO: Health Manager
REPORTING TO JOB HOLDER:
Underwriter
Assistant underwriter
OTHER CONTACTS:
Within The Company: All
Outside The Company:
- Clients
- Brokers
- Agents
- Other insurance companies
- Service providers
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5. KNOWLEDGE AND EXPERIENCE.
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Qualifications:
- University degree in statistics or business-related course
- Basic Insurance qualification
Experience:
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6. SKILLS AND COMPETENCIES.
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- Good communication and negotiating skills
- Good assessment and analytical skills
- Knowledge in medical risk assessment.
- Honesty and integrity
- Good interpersonal and relations skills
- Thorough understanding of policy covers/wordings and their interpretation as pertaining to claims
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7. JOB CHALLENGES.
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- Multitasking
- High pressure job
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8. DELEGATED FREEDOM TO ACT & MANAGEMENT CONTENT
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- Fairly high freedom to decide, within policy
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9. ENVIRONMENT
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10. KEY RESULT AREAS & PERFORMANCE INDICATORS
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- Handle quotations based on proposals and requests to source business and satisfy customers
- Follow up on quotations to close business and to get feedback
- Daily servicing of clients to nurture the relationship between the company and our customers
- Follow up on renewals to retain business
- Achieve Loss Ratio Target
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Interested candidates are requested to submit their applications by 25th February 2022.
Click here to apply