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Medical Underwriter

2.00 to 8.00 Years   Dubai, United Arab Emirates   20 Jul, 2021
Bupa Global
1 Jobs Openings
Job LocationDubai, United Arab Emirates
EducationNot Mentioned
SalaryNot Mentioned
IndustryInsurance & TPA
Functional AreaNot Mentioned

Job Description

The Medical Underwriter will join our team based in Dubai. The purpose of the role is to manage customer underwriting and medical non-disclosure cases within cost and compliance boundaries. Identify issues that affect the customer experience and any cost or risk exposure.There will be two key elements to the role:

  • Make decisions on Underwriting using clinical and medical risk knowledge, and resolving all underwriting queries to the customer?s complete satisfaction, and
  • Ensure all referrals for medical non-disclosure receive an appropriate level of scrutiny.
Role Responsibility
  • 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.
  • ?Act as an expert point of reference to other areas of the business and Bupa Global in relation to underwriting and medical non disclosure.
  • 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.
  • Comply with all regulatory and governance requirements for the region DHA and HAAD
  • Achieve all targets for contact handling, turnaround times and quality
  • ?Participate in regular 121s and team meetings with your Manager.
  • ?Support new team members and act as a role model for the team demonstrating outstanding personal behaviours and performance.
  • Contribute to the continuous improvement process by challenging existing process and contributing ideas for improvement.
  • Maintain up to date knowledge of Bupa Global products, policies and systems, and keep up to date with any policy changes that have an effect on medical risk.

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