New
2 weeks ago

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

  • Minimum Qualification: Degree
  • Experience Level: Senior level
  • Experience Length: 5 years

Job Description/Requirements

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 enrollee's 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 taken to the management. 
  • Analyze and determine  premiums for policies
  • Keep abreast of changes in the health insurance industry that could impact the 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 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.



Requirements:

  • 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 the 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


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