Underwriting and Portfolio Monitoring Officer (Medical) at Fosad Consulting

Job Objective / Purpose of Job

• The purpose of the role is to sustain a market-leading position in the health insurance market segment within Nigeria through effective and efficient oversight of Underwriting, product and pricing processes.

Responsibilities 

• Underwriting, Product and Pricing
• Monitor the impact of provider tariff increase on our portfolios.
• Give recommendations to provide management team on provider recategorization (Where necessary)
• Engage HR and Client stakeholders (RM’s and other sales intermediaries-broker and agents) on the possible negative impact of tariff re-negotiation in the bid to delist provider or secure premium increase.
• Facilitate and ensure reduction of footfalls at non-compliant hospitals through active stakeholder engagements.
• Responsible for reviewing & executing contract agreements with Providers.
• Responsible for underwriting, risk and profitability assessment of Group products for both new and renewal businesses, including local and international products.
• Define, review, authorize and ensure implementation of approved pricing and renewal decisions for the Underwriting Period.
• Issue renewal prompts and advise to sales team three (3) months ahead of policy expiry date.
• Monitor performance of the portfolio and implement corrective actions with the support of the sales team. Continuously seek, propose, & monitor improvement opportunities in the operations, both internally in the company or externally with intermediaries when necessary
• Regularly report results/suggestions to Unit/Group Heads.
• Ensure regular review and maintenance of Standard Operating Procedures for all key processes and contracts.
• Support product innovation through competitive and fair pricing
• Assist with the design of complex and customized customer solutions for local and international businesses to ensure strategic wins, final client satisfaction, and profitable growth for the company.
• Support the definition of benefits which should be clear and devoid of ambiguity to ensure proper administration of policies and claims.
• Maintain competitive advantage and customer-centric view on product benefits, packages and the definition of all group, tailor-made and packaged products.
• Liaise with Risk, Actuarial & Legal in case considerations as applicable.

Qualifications

• BSc. from a reputable tertiary institution
• Minimum 2 - 4 years total work experience with at least 1 in related job role

Requirements:

• Technical knowledge of health underwriting or health operations
• Basic knowledge of medical terminology
• Ability to analyse and interpret data
• Intermediate competence with MS Office (Word, Excel, Outlook, etc.)
• Strong Leadership traits
• Strong Analytical skills
• Innovative
• Good interpersonal relationship and communication skills
• Time management.