Medical Underwriter

Amana Cooperative Insurance; Saudi Arabia; On-site; SAR 60,000 - 80,000; Full time

Job summary

A leading company in Saudi Arabia is seeking a skilled medical Underwriter to evaluate health insurance applications. The role involves assessing risks, collaborating with agents, and ensuring compliance with regulations. Ideal candidates will have a Bachelor's degree and experience in health insurance underwriting.

Qualifications

• At least 1 year of experience in underwriting health insurance policies.
• Health Insurance Certification Preferred.
• CII Cert - Preferred.

Responsibilities

• Accurately underwrite medical products by assessing risks.
• Collaborate with agents and clients for accurate underwriting.
• Evaluate medical histories to determine risk acceptance.

Skills

Organization skills

Communication

Interpersonal skills

Business communication

Excel spreadsheet skills

Education

Bachelor's degree in insurance

Bachelor's degree in management

Bachelor's degree in risk

Tools

Underwriting software

Job description

The medical Underwriter is responsible for evaluating and assessing health insurance applications to determine the risk associated with insuring individuals or groups. This role involves analyzing medical histories, conducting risk assessments, and making informed decisions on policy approvals, modifications, or denials. The medical Underwriter collaborates with agents, brokers, and clients to ensure accurate underwriting practices while adhering to company guidelines and regulatory requirements.

Job Descriptions:

• Accurately underwrite the medical product by assessing the risks according to company guidelines and regulations.
• Maintains a high level of accuracy (Quality) and always seek to improve individual quality scores with time.
• Ensure meeting individual productivity target and turn-around-time, always seek to improve individual productivity scores with time.
• Staying up-to-date on industry regulations and changes in medical practices.
• Assisting in claims investigations and policy renewals.
• Shows keenness to develop technical competency by extending underwriting scope or limits.
• Perform other responsibilities and duties periodically assigned by supervisor / manager in order to meet business requirements.
• Evaluate an individual's medical history or physical condition, occupational hazards, financial background, insurable interest and other information to determine whether to accept, modify or decline a risk.
• Collaborate with the field force or other functions of Amana to gather information for decision-making
• Explain and defend any underwriting actions.

Requirements:

• Bachelor's degree in insurance, management, risk or any equivalent
• At least 1 year of experience in underwriting health insurance policies
• IFCE
• Health Insurance Certification Preferred
• CII Cert - Preferred

Technical/Behavioral Skills :

Technical:

• In-depth understanding of health insurance products, underwriting guidelines, and risk assessment techniques.
• Proficiency in analyzing medical histories, financial data, and statistical information to make informed underwriting decisions.
• Familiarity with healthcare regulations, compliance standards, and industry best practices.
• Ability to identify, evaluate, and mitigate risks associated with underwriting decisions.
• Competence in using underwriting software, databases, and tools for processing applications and managing data.
• Strong understanding of medical terms, conditions, and treatment protocols to accurately assess applications.
• Skills in creating detailed reports and documentation to support underwriting decisions and communicate findings.
• Understanding of financial principles and how they relate to underwriting and insurance pricing.

Behavioral:

• Organization skills
• Ability to work independently and within a team environment
• Excellent communication and interpersonal skills
• Business communication skills
• Computer - Excel spreadsheet skills
• English Language