End to end ownership for the resolution of all customer underwriting and medical non disclosure cases. Case manage all cases through to resolution.
Understand and assess the medical risks associated with medical conditions and the range of potential treatments and their costs.
Ensure that all new applications for membership are underwritten in a consistent and timely manner and that they are processed within the agreed Service Level.
Use medical risk assessment techniques and knowledge to make decisions on the level of potential medical risk.
Balance customer needs with commercial considerations as a core part of the underwriting decision making.
Pro-actively contact medical/health practitioners, members, providers, partners and intermediaries in the most appropriate way in order to gain sufficient information to make a decision.
Accurately maintain and update customer records on the customer management system. Ensure that records are accurately updated whenever a customer makes contact.
Record full and robust case investigation information and decision-making rationale and adhere to defined referral, escalation and decision-making standards.
Achieve all targets for contact handling, turnaround times and quality
