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Specialized underwriting audit skills and US-guideline experience reduce applicant competition.
Specialized life/health underwriting, APS/EHR interpretation and US-guidelines demand domain-specific expertise, limiting transferability.
Explicit >5 years experience, medical degree preference, and APS/EHR/US-guidelines requirement makes screening strict.
Conduct structured audits of underwriting cases to ensure accuracy, consistency, and compliance with carrier guidelines and SOPs.
Track and report on quality metrics including error rates, decision accuracy, and SLA compliance to drive improvements.
Provide feedback and support coaching for underwriters, identify error trends, escalate systemic issues, and contribute to process and SOP enhancements.
Graduate or Postgraduate in Medicine or related field (M Pharma, Nursing, MBBS preferred).
More than 5 years experience in Life/Health Insurance Underwriting with exposure to managing underwriting quality or audit functions.
Strong knowledge of APS, EHR, Lab Piq interpretation, and US-based underwriting guidelines.
Proficiency in MS Excel for trend analysis and scorecard reporting.
Experienced in risk assessment and quality control within life or health insurance underwriting.
Analytical with strong attention to detail for identifying trends and quality gaps.
Able to communicate effectively to provide structured feedback and collaborate on training and process improvements.