Manager - Clinical Underwriting - Insurance

Clinical Underwriting Manager

Designation Senior Manager - Clinical Underwriting

Grade As per candidates' profile

Required Work exp 5 - 10 years

Roles and Responsibilities:

- 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

- Strong attention to detail and accuracy

- Ability to multitask and prioritize workload

- Proficient in Microsoft Office and other relevant software applications

Expected Educational Qualification : MBBS and above or equivalent qualifications

Job location : Thane

We are looking for a dedicated individual to join our team as an Insurance Actuary. The individual should be able to be part of a team which can offer him/her an opportunity to establish the entire actuarial function for the organization.

You should also be on top of new regulations that are coming in from IRDAI.

To be successful in the role, you should demonstrate strong leadership and communication skills. The person should be well organized and able to work under pressure.