JOB DESCRIPTION

POST TITLE

Senior Medical Underwriter

JOB HOLDER

REPORTING TO:

Health Manager

DIVISION/DEPARTMENT

Medical Department

LEVEL

Role Size

1. JOB PURPOSE

Ensure business is professionally written to acceptable standards within the underwriting guidelines and arranged reinsurance program.

2. PRINCIPAL ACCOUNTABILITIES.

• 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.

3. DIMENSIONS 

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:

4. RELATIONSHIPS

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

5. KNOWLEDGE AND EXPERIENCE.

Qualifications: 

• University degree in statistics or business-related course
• Basic Insurance qualification

Experience: 

• Minimum of 3 years

6. SKILLS AND COMPETENCIES. 

• 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

7. JOB CHALLENGES. 

• Multitasking
• High pressure job

8. DELEGATED FREEDOM TO ACT & MANAGEMENT CONTENT 

• Fairly high freedom to decide, within policy

9. ENVIRONMENT 

• Conducive etc.

10. KEY RESULT AREAS & PERFORMANCE INDICATORS

• 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