Health Insurance Underwriter at Stresert Services Limited

Job Summary

Our client, a reputable Health Maintenance Organization (HMO) with headquarters in Abuja is looking to hire a professional, experienced, mature and trendy  Underwriter to manage and coordinate the   risk bearing responsibility of our client in the health insurance ecosystem.

The ideal candidate will be responsible for implementing guidelines that ensure a balanced ratio of favorable risks, minimizing claim costs, and enabling the company to provide insurance at  competitive premiums.
This role requires a comprehensive understanding of risk analysis/management, professional analysis of  data and make informed decisions.

Responsibilities

• Review and evaluate medical records to determine insurability
• Review and analyze health insurance benefit packages / mixture of enrollees age bracket/ sex/ volume and other relevant variables.
• Analyze enrollees application information to identify potential risks.
• Make recommendations to the company regarding risk management.
• Determine and professionally advise the management on the acceptance or enrolment of subscribers on the benefit packages of the company.
• Review claims to ensure they comply with the standard tariffs and operational standards. 
• Investigate  unprofessional and fraud cases and recommend appropriate steps to be taking to the management. 
• Analyze and determine  premiums for policies
• Keep abreast of changes in the health insurance industry  that could impact  risk management process.
• Drives capacity building program for  other underwriters in the company. 
• Assist in the development of new underwriting guidelines.
• Assess clients’ background information and financial status/ ability to pay the premium.
• Draw up a quotes for competitive insurance premiums.
• Keep detailed records of policies underwritten and decisions made.
• Develop and maintain a profitable book of business for the insurer.
• Maintain confidentiality of all applicants and policyholder information.

Required Skills and Qualifications

• Bachelor’s degree in actuarial science, insurance, business, finance, or related fields.
• 5 to 8 years  experience in medical underwriting or related role in the Health insurance ecosystem.
• Exposure to international health insurance industry and knowledge of  federal regulations governing health insurance.
• Exceptional analytical and research skills
• Good calculation skills
• Ability to work independently and with a team
• Experience with risk analysis and management
• Familiarity with actuarial science
• Membership of NIA or other professional association