The role holder will lead the underwriting, Reinsurance and medical management team to ensure greater underwriting effectiveness, and improve customer experience. This includes maximizing the protective value of underwriting, reduce volatility of the claims experience and create a sustainable and profitable operating model. The Jobholder will work closely with the Director - Operations & Customer Service in formulating policy, serving and Underwriting standards to assess new business within acceptable risks.

He/she will also have the overall responsibility for strengthening the business areas commercial operations through awareness of the market conditions. The role holder will be required to design Guidelines for an effective and efficient underwriting and to ensure that Life Insurance venture provides professional underwriting service to its clients and maintain healthy levels of profitability, growth and development. The role holder will also be required to support automation in department, support product design and create underwriting guidelines for new products and group guidelines. Key responsibility areas:

- Governance of Underwriting and Claims for life and health insurance

- Develop and implement underwriting and claims principles, guidelines and standards

- Provides deep technical leadership on product development, medical, financial, and non-medical underwriting and claims adjudication

- Continuously contributes to development of the organization's Underwriting and Claims philosophies by monitoring emerging trends and best practices

- Recommends and implements changes to the underwriting , Risk assessment and claims philosophies, methodologies, practices, processes, and technologies

- Ensures Underwriting and Claims leaders maintain up to date required underwriting and claims knowledge and skills

- Govern the performance of Third Party Administrator to ensure SLAs are met;

- Analyse Underwriting practice, including product and underwriting effectiveness

Key Responsibility Areas





- Risk Assessment and Underwriting for complex medical and

- Financial cases (HNI cases)

- Ensuring Quality of Underwritten proposals

- Lead a team of medical underwriters and claims assessors to provide exceptional customer experience to individual and group customers, as well as brokers;

- Redefine processes, and underwriting rules development, to facilitate automation of simpler underwriting;

- Carry out underwriting audits and other underwriting and related projects;

- Resolve escalated underwriting and claims issues and appeals with flexible solutions;

- Source and develop training programs for uplifting team’s professional knowledge and standard of the teams;

- Recommend underwriting authority limits and training to the team of underwriters

- Conducting and ensuring Audit and compliance adherence

- Manage Medical Test and report management process- Develop a robust medical service network to support distribution channel

- Automations, process transformation and System enhancements

- Manage New initiatives/projects and Partner Integration

- Managing Underwriting production: Retail, Digital business Group business Underwriting and servicing

- Establish Underwriting procedures: and guidelines to support business requirements

- Focus on competitor, economic and industry developments and make changes and modifications accordingly in the existing procedures

- Ensure Clarity of content while communicating technical information in a concise manner

- Provide underwriting and medical support for the assessment of claims

- Liaison and negotiations with Reinsurance for competitive Underwriting and product guidelines and effective services





- By ensuring daily business volumes are managed. Ensure desired productivity levels are achieved on a daily basis Address Sales queries and escalation

- Govern the performance of Third Party Administrator to ensure SLAs are met

Customers / Stakeholders

- Bank partner
- sales query resolution

- Technical assistance to various departments

- Interactions with Business Partners: Continuously interact with the key stakeholder and seek proactive feedback. Constantly benchmark our Underwriting and Risk practices with those in the industry

Leadership & Teamwork

- Ensure better supervision of team

- Skilled team management and training and development of team members

- Maintain high quality and efficient volume processing service

- Team mentoring: Knowledge sharing so that the skills set of the team members can be improved. Build up a second support level so that the members gets gradual exposure to higher face and thus facilitate grooming and a smooth transition to a higher position

Operational Effectiveness & Control

- Enhancement in Existing underwriting guidelines: Based on trends so as to deliver better without compromising quality of business and provide effective and competitive guidelines for recent products

- Underwriting MIS: Understanding the MIS and determining trends.

- Taking course corrections for cases not within norms.

- New initiatives for reducing TATs and saving cost

- Interaction with Reinsurers for both new products UW guidelines and services

- Maintain internal control standards, including the timely implementation of internal and external audit points together with any issues raised by external regulators

- Implementation of Group Compliance Policy as applicable to the role.

- Awareness of the operational risk associated with the role and the action to be taken to minimise the likelihood of operational risk occurring including risk identification, assessment, mitigation and control, loss identification and reporting

📌 Head - Underwriting (Vice President) (Gurugram)
🏢 XpertReach
📍 Gurugram