Assistant Vice President

HDFC ERGO General Insurance; New Delhi; On-site; INR 3,500,000 - 6,500,000; Full time

Job summary

HDFC ERGO General Insurance in Delhi seeks an Assistant Vice President for Underwriting & Risk Assessment. You will lead high-sum retail health cases, perform thorough risk reviews, and guide a team of medical underwriters to ensure sound decisions.

You will review medical reports, ensure IRDAI compliance, drive process improvements, and build capability through training. This is a senior, hands-on role demanding strong analytical skills and leadership.

Qualifications

• Underwriting & risk assessment of health proposals.
• Review medical documents, policies, and underwriting histories for risk indicators.
• Interpret medical reports and ensure accurate use of medical information in underwriting decisions.
• Assess pre-policy medical exam reports and correlate with disclosed history.
• Adhere to IRDAI regulations, underwriting guidelines, product features and SOPs.

Responsibilities

• Underwrite complex health proposals with thorough risk assessment and decision making.
• Review forms, portability forms, declarations, and past policy documents for disclosures and risk indicators.
• Evaluate medical documents and ensure accurate underwriting decisions.
• Approve, load, or apply exclusions within risk appetite.
• Lead and mentor a team of medical underwriters, manage throughput and capacity.
• Conduct performance reviews, coaching, and quality audits to improve outcomes.
• Collaborate with cross-functional teams to improve processes and turnaround time.
• Support audits, regulatory reviews and escalations related to underwriting.

Skills

MBBS

Job description

End Date 10 Jun 2027

Required Experience 8 - 12 years

Basic Section

New Job Title Assistant Vice President

No. Of Openings 1

Grade M2

Campus/Non Campus Non Campus

Employment Type Permanent

Organisational

Company HDFC ERGO General Insurance

Legal Entity HDFC ERGO General Insurance

SBU/ Channel Health

Business Function Non Sales

Cost Center Code 1311

Business Zone NA

Job Role TM - Case Processing

Country India

Region North

Branch Code 1312

Type of Office Corporate

Skills

Skill

MBBS

CERTIFICATION

Working Language

Job Description

Underwriting & Risk Assessment

Underwrite complex and high sum insured retail health insurance proposals with thorough risk assessment and appropriate decision making.

Review and analyze proposal forms, portability forms, declarations, past policy documents, and underwriting histories to identify material disclosures and risk indicators

Review and interpret medical documents, investigation reports, discharge summaries, prescriptions, and specialist opinions, ensuring accurate utilization of medical information in underwriting decisions.

Evaluate pre-policy medical examination reports and correlate findings with disclosed medical history.

Approve, decline, load, or apply exclusions in line with underwriting philosophy and company risk appetite.

Ensure adherence to IRDAI regulations, company underwriting guidelines, product features, and internal SOPs.

Lead, mentor, and manage a team of medical underwriters, ensuring productivity, quality, and compliance.

Allocate work, monitor daily throughput, and ensure optimal utilization of team capacity.

Conduct performance reviews, coaching sessions, and quality audits to improve underwriting outcomes.

Drive a culture of accountability, continuous learning, and underwriting excellence.

Process, MIS & Governance

Ensure daily productivity MIS, quality metrics, dashboards, and process reports are published accurately and on time.

Review underwriting deviations, exceptions, and referral trends, and take corrective actions.

Partner with operations, sales, and product teams to improve underwriting processes and turnaround time (TAT).

Support audits, inspections, and regulatory reviews related to underwriting.

Resolve complex customer, sales, broker, and partner queries or grievances related to underwriting decisions.

Act as a subject matter expert for escalations involving medical or underwriting judgement.

Collaborate with Sales, Claims, Actuarial, Product, and Legal teams for business initiatives and policy interpretation.

Training & Capability Building

Conduct structured training sessions for team members on medical knowledge, underwriting concepts, disease biology, and regulatory updates.

Develop and update training material, SOP interpretations, and underwriting best practices.

Stay updated on emerging medical trends, treatment protocols, and insurance market developments and cascade learning to the team.