Senior Claims/Underwriting Rules Developer - Life Insurance

HFG; City Of London; Remote; GBP 60,000 - 90,000; Full time

Job summary

A leading Life Insurer is seeking a Senior Claims/Underwriting Rules Developer to enhance their automated claims and underwriting offerings. The role involves leading claims automation initiatives, developing rules, and collaborating with key stakeholders to improve efficiency and risk management.

Qualifications

• Broad experience in developing life claims or underwriting rules engines.
• Experience in increasing STP rates based on sound risk management principles.

Responsibilities

• Lead the development of claims automation initiatives and refine process rules.
• Create customer-facing rules for straight-through processing and efficiency.
• Collaborate with AI teams to integrate advanced techniques into claims assessment.

Skills

Data Analysis

Risk Management

Claims Automation

Underwriting Rules Development

Job description

New Vacancy - Senior Claims/Underwriting Rules Developer
Life Insurer
Remote Working

I am currently recruiting for a leading Life Insurer who are seeking a Senior Claims/Underwriting Rules Developer to join their growing team. This role will focus on working on the development of the automated claims proposition and existing automated underwriting offerings, maximizing data analysis for process and philosophy improvements.

My client is looking for someone with broad experience of developing Life claims or underwriting rules engines and increasing STP rates based on sound risk management principles.

Key Responsibilities

• Lead the development of claims automation initiatives by establishing process rules, refining philosophy in collaboration with claims SMEs, and creating metrics to track performance and guide future improvements.
• Create customer-facing rules to enable straight-through processing and drive automation efficiency.
• Continuously review and enhance claims rules to ensure they reflect the most current and effective practices.
• Collaborate with AI teams, where applicable, to integrate advanced techniques into the claims assessment process.
• Contribute to the development of underwriting automation by analyzing current rule performance and recommending improvements to enhance efficiency, manage risk, and ensure consistency across engine platforms.
• Conduct competitor analysis to inform and evolve claims and underwriting strategies.
• Develop a strong understanding of internal claims and underwriting systems, ensuring all relevant data fields are tracked, reported, and integrated into management information (MI) for ongoing improvement.
• Foster effective partnerships with IT teams and key stakeholders in both the UK and South Africa to ensure timely testing and delivery of new developments.
• Create and maintain comprehensive documentation related to claims and underwriting philosophies, as well as rule development processes.