JOB DESCRIPTION
Risk Assessment & Analysis
● Evaluate Group Metrics: Analyze group census data, age demographics, and historical claims experience to identify and quantify potential risk exposures.
● Predictive Modeling: Utilize statistical data to forecast future utilization trends and claim behaviors for prospective and renewing groups.
Quote Preparation & Structuring
● Collaborative Pricing: Design and construct tailored benefit quotes based on specific requirements communicated by the Sales Single Point of Contact (SPOC).
● Financial Alignment: Ensure the pricing structure balances competitiveness in the market with the company's profitability goals.
Data Management & Administration
● Underwriting Governance: Maintain accurate and organized underwriting files.
● CRM Hygiene: Consistently log activities, quote versions, and risk decisions within the CRM system to ensure data integrity across departments.
Compliance
● Policy Adherence: Guarantee that all generated quotes strictly comply with internal underwriting guidelines and risk appetites.
● Efficiency:
Manage workflow effectively to meet or exceed established Turnaround Times (TAT).
Stakeholder Communication
● Strategic Insights: Partner with the Sales SPOC by providing explicit, data-driven insights into the group’s risk profile.
● Pricing Justification: Articulate the rationale behind specific pricing decisions and rate adjustments to support the sales team in client negotiations.
REQUIREMENTS:
● Option 1 (Experienced): Minimum 1 year of direct experience in Group Health Underwriting.
● Option 2 (Academic Background): B.Sc. in Actuarial Science (fresh graduates with a solid numerical foundation are welcome).
● Option 3 (Career Switch): Experienced medical claims processing professionals with strong technical knowledge who want to transition into underwriting.
TECHNICAL & COMPETENCY REQUIREMENTS
● Analytical Mindset: Exceptional ability to spot trends, anomalies, and details within complex