Medical Underwriter

Purpose of the Role

To independently assess and price risks within an allocated portfolio, applying interpretive judgment to balance growth objectives with acceptable financial exposure.

This is a specialist position that reports directly to Operations Manager: Underwriting. The role is accountable for the assessment and execution of a compliant and effective medical underwriting function in telephonic support of mainly sales from a medical underwriting perspective, but it includes support to claims and service functions.  Key responsibilities include:

Assess and execute medical underwriting to support:

• • Telephonic support for sales (main function)
  • Review of referred underwriting quotes;
  • Facilitating communication of medical declines to clients;
  • Quality Assurance
  • Client policy amendments with underwriting changes/impact (Servicing)
  • Claims process

Overview of Role Responsibilities (Level 1-13)

Underwriting Insurance Cases - Level 4 - Process Expert
Prepare new business and renewal quotations by referring to rating manuals and performing calculations in accordance with prescribed formulae to ensure that prices quoted meet the organization's commercial objectives.

Organizational Risk Management- Level 4 - Process Expert
Gather, monitor, and analyze risk data and recommend further investigation. Involves using established risk management models, systems, and protocols and working under direction.

Regulatory and Compliance Management- Level 4 - Process Expert
Carry out a wide range of compliance monitoring activities and give basic advice on compliance and regulatory requirements.

Applicant Insurance Risk Assessment- Level 4 - Process Expert
Contribute to daily operations in insurance risk assessment for a moderate number of applications, reviewing moderate amounts of risk and sensitivity.

Underwriting Automation- Level 4 - Process Expert
Help with research and analysis to support the development, validation, and improvement of automated underwriting processes and systems.

Managerial Experience

Not applicable

General Experience

• Sound experience and understanding of straightforward procedures or systems (Minimum 1 year)
• Experience in financial distribution sales and servicing, specifically in a call centre environment
• Experience in processing of new business in a life insurance
• 2-3 years medical underwriting experience
• Nursing or medical background experience

Required Skills

Underwriting Risk Assessment - Intermediate
Works at an intermediate level to use and apply knowledge of the information gathering process, in particular relating to the factors that affect the acceptance and underwriting of risks. Typically works with guidance.

Underwriting Process Principles - Intermediate
Works at an intermediate level to use underwriting processes and procedures so that new risks, alterations, renewals and/or cancellations can be processed in an accurate and timely manner. Typically works with guidance.

Underwriting Management - Intermediate
Works at an intermediate level to use the factors that affect the performance of an underwriting portfolio and how risk exposure can be monitored and controlled. Typically works with guidance.

Underwriting Process Optimization Techniques - Intermediate
Works at an intermediate level to improve underwriting processes, enhancing risk assessment accuracy, streamlining policy approvals, and ensuring regulatory compliance. Typically works with guidance.

Insurance Products and Services - Intermediate
Works at an intermediate level to use and apply the full range of insurance products and services in the market. Typically works with guidance.

Insurance Principles and Practice - Intermediate
Works at an intermediate level to use and apply the core principles of insurance. Typically works with guidance.

Education

Required Behavioural Competencies