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Clinical Underwriting Manager

4.00 to 9.00 Years   Mumbai City   03 Sep, 2023
Acme Services Private Limited
Job LocationMumbai City
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT Services & Consulting
Functional AreaRisk / Underwriting
EmploymentTypeFull-time

Job Description

    Clinical Underwriting ManagerRoles and ResponsibilitiesDesign a framework to gauge clinical risk for Insurance and Wellnesspolicy/ products sold by the organization Develop the framework based on clinical understanding of medical reports, laboratory results, and other medical documentation to evaluateand assign a health risk status for the target population Analyze data to determine appropriate coverage and premium rates for insurance policies Collaborate with the sales team to provide recommendations on insurance products and coverage options based on medical risk assessments Provide guidance and support to the claims department in reviewing and processing claims Stay up-to-date with the latest medical developments and industry trends in order to provide accurate and informed recommendations to the company Identify and report any potential fraud or abuse in claims submissions and underwriting practicesRequirementsMedical degree or equivalent medical qualification (MBBS, MD, or equivalent) Minimum of 5 years of experience in clinical underwriting in the insurance industry Upto date with current clinical treatment protocols Excellent analytical and problem-solving skills Excellent communication and interpersonal skills Ability to work independently and in a team environment Strong attention to detail and accuracy Ability to multitask and prioritize workload Proficient in Microsoft Office and other relevant software applications

Keyskills :
underwritingreportsframeworkmedicallaboratory

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