Senior Claims/Underwriting Rules Developer - Life Insurance

HFG; London; Remote; GBP 60,000 - 85,000; Full time

Job summary

A leading Life Insurer is seeking a Senior Claims/Underwriting Rules Developer to enhance their automated claims and underwriting processes. The ideal candidate will have extensive experience in developing rules engines and a strong understanding of risk management principles. This remote role offers the opportunity to lead automation initiatives and collaborate with key stakeholders across the UK and South Africa.

Qualifications

• Broad experience in developing Life claims or underwriting rules engines.
• Experience in maximizing STP rates based on risk management principles.

Responsibilities

• Lead the development of claims automation initiatives.
• Create customer-facing rules for straight-through processing.
• Review and enhance claims rules for effectiveness.
• Collaborate with AI teams for advanced techniques integration.
• Conduct competitor analysis to inform claims strategies.

Skills

Claims automation

Underwriting rules development

Data analysis

Risk management

Collaboration with SMEs

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.