Walk-in || Manager - Global Business (Medical Underwriting)

Role & responsibilities

• Underwriting Individual cases on daily basis within the set time frame.
• Should have the proper medical knowledge to analyses the case.
• Co-ordinations with various brokers related to underwriting cases.
• Group underwriting based on the claim utilization or overall data with the loss ratio evaluation and anticipating future inpatients. New additions in the policy to be evaluated based on the PED and medical reports.
• Should be well versed with the exclusion of Health Insurance product and its TOB.
• Solving the claims related queries within the time frame.
• Audit the claims on the given data to find out the fraud /overutilization/ medical justification /Declarations.

Measures of Success for the Role :

• Timely Response to cases on TAT basis
• Accuracy
• No escalation from broker
• Building relationships with broker

Preferred candidate profile:

• BHMS/ PHYSIOTHERAPY/BAMS
• Advance excel
• Excellent in medical cases analytical, logics and problem solving skills.
• Ability to work both independently and as part of a team