Specialist - KA and Corporate Underwriting

Sector: Health

Role Purpose:

To develop underwriting manuals and guidelines, assess experience-rated health product quotation requests, and analyze risk of insurance contracts to generate policy premiums for insurable KA and Corporate health risks.

Knowledge and Experience:

1- Minimum of 2 years of experience in insurance underwriting domain.

2- A bachelor's degree in business administration, Management, Finance, or equivalent is required

Key Activities:

• Underwriting Manuals and Guidelines:

1- Research best underwriting practices to incorporate when drafting underwriting manuals/guidelines in line with relevant regulations.

2- Consolidate finalized manuals to be shared with concerned functions to raise awareness and ensure alignment among stakeholders.

• New Quotations:

1- Review and validate experience-rated health product quotation requests, ensuring adherence to product guidelines and conditions.

2- Conduct customer background checks and perform healthcare declaration analyses to ensure request eligibility and identify the need for further customer information/examinations.

3- Communicate needed missing customer information (e.g., reports, medical condition, medical history, etc.) to facilitate pricing analyses o Attend negotiations with KA and Corporate Sales and collect relevant input to calculate appropriate policy premiums in certain cases.

4- Generate policy premiums based on guidelines, risk assessments, and other premium elements (i.e., commissions, government fees, etc.).

5- Determine appropriate claims fund based on collected information and externalities, such as medical inflation, changes in benefits, changes in products, etc., to ensure adequate insurance coverage.

• Renewal Quotations:

1- Assess contracts with flagged risks and support in drafting proper course of action to mitigate impact (i.e., change in contractual clauses, change in pricing, termination of the policy etc.)

2- Communicate implemented policy price adjustments to Commercial Reports to inform policyholders of decision.

3- Perform risk assessments and determine the need for facultative/treaty reinsurance in line with portfolio risk levels.

4- Perform policy assessments on the possibility of adding hospitals, increasing benefit supplement, waiving co-insurance, etc.

5- Assess and prioritize policy cancellations and escalated policy administration requests in a timely and effective manner.

• Underwriting Performance Monitoring:

1- Provide needed documents and data to support consultations and resolution of inquiries from internal functions.

2- Assess and report on health and performance of underwriting process to support improvement initiatives that tackle process gaps.

• Policies, Procedures and Processes:

1- Contribute to the identification of opportunities for continuous improvement to enhance productivity, attain high quality outputs, and cost-effective results in line with relevant regulatory requirements.