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Head of Underwriting & ClaimsBluemont Consulting
Head of Underwriting & ClaimsBluemont Consulting
Job Highlights
  • Leading Health / Medical insurer
  • Reporting directly into COO
  • Excellent benefits
Job Description
  • Leading Health and Medical Insurer
  • Report directly to COO
  • Excellent benefits
Description
 
The incumbent will lead the underwriting and claims team to ensure greater claims and underwriting effectiveness, and improve customer experience.  This includes maximize the protective value of underwriting, minimize avoidable claims leakage, reduce volatility of the claims experience and create a sustainable and profitable operating model.

Key Responsibilities:
  • Develop and implement underwriting and claims principles, guidelines and standards
  • Lead a team of medical underwriters and claims assessors to provide exceptional customer experience to individual and group customers, as well as brokers
  • Analyze claim practice, including product and underwriting effectiveness
  • Redefine processes, such as claims and underwriting rules development, to facilitate automation of simpler claims and underwriting
  • Carry out underwriting and claims audits and other underwriting and claims related projects
  • Ensure case underwriting and claims adjudication work and other tasks, e.g. review of guidelines are completed within agreed standards
  • Govern the performance of Third Party Administrator to ensure SLAs are met
  • Resolve escalated underwriting and claims issues and appeals with flexible solutions
  • Source and develop training programs for uplifting their professional knowledge and standard of the teams
  • Manage ad hoc projects as required
Qualifications
  • Diploma or above, preferably with insurance-related qualifications, e.g. FLMI, ICA, ACII/ANZIIF
  • At least 15 years’ life/health insurance underwriting and claims experience, of which at least 5 years in supervisory role
  • Comprehensive knowledge of Underwriting and Claims systems and management practices, including latest development in the industry
  • Experience in managing vendor is an advantage
  • Strong strategic thinking, analytical and decision making capabilities
  • Strong interpersonal skills and collaboration mindset, able to develop effective relationships with internal/external stakeholders
  • Able to work independently and under pressure
Additional Information
Career Level
Middle
Qualification
(N/A)
Job Function
Years of Experience
N/A
Employment Type
Full Time
Company details