- Minimum of 5 years of experience in clinical underwriting in the insurance industry
- Proficient in Microsoft Office and other relevant software applications
- Design a framework to gauge clinical risk for Insurance and Wellness policy/ products sold by the organization
- Develop the framework based on clinical understanding of medical reports, laboratory results, and other medical documentation to evaluate and assign a health risk status for the target population
- Analyze data to determine appropriate coverage and premium rates for insurance policies
- Collaborate with the sales team to provide recommendations on insurance products and coverage options based on medical risk assessments
- Provide guidance and support to the claims department in reviewing and processing claims
- Stay up-to-date with the latest medical developments and industry trends in order to provide accurate and informed recommendations to the company
- Identify and report any potential fraud or abuse in claims submissions and underwriting practices
Requirements
- Medical degree or equivalent medical qualification (MBBS, MD, or equivalent)
- Minimum of 5 years of experience in clinical underwriting in the insurance industry
- Upto date with current clinical treatment protocols
- Excellent analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work independently and in a team environment
- Solid attention to detail and accuracy
- Ability to multitask and prioritize workload
- Proficient in Microsoft Office and other relevant software applications