Junior Medical Underwriter

2 weeks ago

Cape Town, Western Cape, South Africa Momentum Corporate Full time

IntroductionRole Purpose**- A junior underwriter performs support function to the medical underwriters and ensures provision of clinical analysis critical for decision-making towards achievement of business objectives, using existing policies, procedures, and guidelines

Requirements:

Experience and Qualifications

  • Qualification in Health Sciences or equivalent is an advantage.
  • Must have at least 3 years' experience as an Underwriting Service Consultant/Administrator.
  • Excellent underwriting administration knowledge and skill.
  • Be knowledgeable on various workflow systems, indepth knowledge of Orbit Portal and AS400 would be an advantage.

Duties & Responsibilities

  • Gathering and preparing the clinical and medical evidence based on medical information received for the employee of the group, by ensuring all medicals have been received and any previous covers/decisions have been noted on the member summary.
  • Manage workflows by returning any incorrect or incomplete workflows to the service area and preparing the relevant cases for assessment.
  • Understand the Underwriting Matrix and Astute system to advise on medical evidence required for underwriting impaired lives.
  • Liaising with doctors/ brokers/ employees and members with regards to underwriting decisions made.
  • Liaising with Reinsurers, the Installations, Operations and Pricing teams.
  • Following the relevant guidelines/ protocols/ legislation and codes of conduct.
  • Be able to translate risk into an extra mortality/morbidity loading.
  • Picking up on adminrelated risk trends and making suggestions in terms of managing the trends.
  • Participating in crossfunctional teams to develop new or enhance systems/ processes/ policies

Competencies
-
Analytical Skill: Must be able to evaluate information from a variety of sources and solve complex problems.
-
Decision-making:Evaluate information from a variety of sources, identify complex problems and contribute to the resolution.
-
Attention to Detail:Must pay attention to all detail, the slightest error could result in unsatisfactory outcomes and affect our risk management.
-
Interpersonal Skills:Good communication and interpersonal skills due to interaction with various stakeholders including brokers, members, and the internal teams.
-
Time-management Skills:Must be able to work independently when required and manage time efficiently.
-
Written and Verbal Communication:Communication must always be clear and professional.

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