Medical Underwriter at PACIS Insurance

PURPOSE OF THE JOB

The jobholder is responsible for assessment, pricing and determining terms for medical risks.

KEY RESPONSIBILITIES

Underwriting Role

•  Assess the new and existing risks and ensure that they are adequately rated and commensurate with the terms and conditions advised and endorsed to retain profitability of the medical portfolio.
•  Provide competitive quotations to all customers promptly within the standards set.
•  Membership management; additions and cancellations.
•  Scheme set up, benefits set up and membership updates in the system
•  Timely and accurate debiting of premium and cover conditions and that the documentation is in compliance with set standards and procedures.
•  Ensure that medical insurance cards are issued in an efficient timely and accurate manner
•  Prepare and send renewal notice within stipulated timeline and co-ordinate follow up of the renewals to achieve renewal capture targets.
•  Ensure policy endorsements & documents are accurate and made within the standards of service, and ensure timely dispatch
•  Train various stakeholders on company products for increased knowledge and growth of business
•  Monitor scheme loss ratios and adjust renewal terms accordingly
•  Assist with business acquisition through follow up on quotes and intermediary visits.
•  Ensure business is booked as per the company’s credit policy and follow up on payment plans.

Customer Service Role

•  Continuously monitor the outpatient fund and check on prudent utilization of cover reporting any anomaly noted and ensure timely invoicing for top up.
•  Provide benefit utilization reports as per the standards of service set out in the customer charter
•  Provide timely feedback to client’s queries and concern as per service charter provisions.
•  Maintain client and intermediary relationships through visits

KNOWLEDGE AND EXPERIENCE
Qualifications:
Minimum Academic Qualifications

•  A Bachelor’s degree in Actuarial science/Statistics from a recognized University.

Professional Qualifications

•  Diploma in Insurance AIIK/ACII

Experience:

•  At least Two (2) years’ experience in health insurance underwriting.

Knowledge

•  Understanding of insurance industry Medical Underwriter

SKILLS AND COMPETENCIES
Competency

•  Stakeholder Management
•  Analytical skills
•  Teamwork
•  Interpersonal and communication skills
•  Accuracy/Keen to detail
•  Commitment & dedication
•  Decision making
•  Customer oriented
•  Planning and organization skills