JOB PURPOSE
Responsible for assessing, analyzing and making decisions on medium to high risk insurance claims, ensuring accuracy, fairness, transparency and compliance with legal regulations
KEY ACCOUNTABILITIES
Key Accountabilities (1)
Underwriting insurance applications
- Assess life insurance applications involving elevated risks such as critical illnesses, high- value financial coverage, hazardous occupations, or complex products.
- Ensure timely, transparent, and compliant processing of cases with thorough documentation.
- Record exceptional cases for internal training and process improvement purposes.
- Recommend appropriate underwriting actions including premium loading, benefit exclusions, coverage limits, or declinations.
- Analyze medical, financial, and behavioral disclosures using internal guidelines, international standards, and reinsurer consultations when necessary.
Key Accountabilities (2)
Mentoring and Technical Guidance
- Develop training materials and lead regular knowledge- sharing sessions to enhance team expertise.
- Support junior underwriters by reviewing cases, clarifying underwriting principles, and guiding risk classification practices.
- Conduct peer reviews to ensure consistency and quality across underwriting decisions.
- Collaborate with product, legal, and operations teams to align underwriting processes with new product launches.
- Participate in internal projects related to system upgrades, process optimization, and quality control.
Key Accountabilities (3)
Reinsurance Coordination and Compliance Oversight
- Prepare periodic reports on approval rates, decline ratios, and other performance metrics.
- Propose enhancements to workflows, systems, and documentation to improve accuracy and efficiency.
- Contribute to internal audits and operational performance reviews.
- Address system errors, process gaps, and feedback from clients or advisors to refine underwriting practices.
- Ensure all underwriting decisions comply with legal regulations, ethical standards, and internal policies.
- Liaise directly with reinsurers to manage cases beyond internal authority or with unique risk factors.
