Senior Medical Underwriting Analyst - Risk & Pricing

Tawteen; Muscat; On-site; OMR 35,000 - 50,000; Full time

Job summary

Tawteen is seeking a Senior Analyst in Medical Underwriting to perform comprehensive underwriting assessments for individual and group health insurance by evaluating medical risks and analyzing clinical information to support pricing decisions. The role emphasizes governance, profitability, and collaboration with internal and external stakeholders.

The candidate will analyze morbidity and mortality risks, manage complex cases, and contribute to underwriting guidelines and strategic initiatives.

Qualifications

• Minimum 8–10 years of experience in medical underwriting or related health insurance areas.
• Experience in individual and group medical underwriting; strong medical risk assessment.
• Experience with morbidity/mortality analysis and healthcare cost management.
• Proficient in ICD, CPT, DRG coding knowledge.
• Advanced Excel and Power BI skills for reporting and analytics.

Responsibilities

• Evaluate applications through medical history review of records and treatment plans.
• Assess morbidity and mortality risks to guide underwriting decisions.
• Manage high-value and complex cases including pre-existing conditions.
• Support pricing teams with medical opinions and cost projections.
• Develop and enhance underwriting guidelines and risk frameworks.
• Collaborate with claims, reinsurers, and brokers on complex cases.
• Produce reports, dashboards, and management presentations.

Skills

Medical underwriting

Risk assessment

Data analysis

Stakeholder management

Analytical thinking

Attention to detail

Portfolio management

Claims analysis

Regulatory compliance

Education

Bachelor's Degree in Medicine/Health Sciences/Insurance or related healthcare

ALMI / LOMA or equivalent professional qualifications

Tools

Excel

Power BI

Job description

Tawteen is seeking a Senior Analyst in Medical Underwriting to perform comprehensive underwriting assessments for individual and group health insurance by evaluating medical risks and analyzing clinical information to support pricing decisions. The role emphasizes governance, profitability, and collaboration with internal and external stakeholders.

The candidate will analyze morbidity and mortality risks, manage complex cases, and contribute to underwriting guidelines and strategic initiatives.