Job ref no.: CT3118690-01#6552

Medical Underwriter for Health Insurance

Allianz Global Corporate & Specialty SE

Job Purpose/Role

The role sites within the Underwriting function of Allianz Operations Framework, and involves contribution to the development of strategic direction of the organization, working collaboratively across the business to help achieve corporate objectives. Reporting to the Regional Head of Operations and IT, the Medical Underwriter for Health Insurance manages deliverables of the underwriting process, providing decisions and recommendations for complex cases, reviewing plans and procedures regarding risk management, application forms and process, renewals, and acceptance and rejection. Define and implement health underwriting set-up according to the Allianz Framework and Hong Kong industry. Document roles & responsibilities as well as end-to-end-processes in a Organizational Handbook and conduct trainings.

To succeed in this role, the applicant must have experience in eliciting requirements in the health underwriting area. The desired applicant will be responsible for partnering with other functional teams (Products, Sales, Legal & Compliance, etc.) and IT teams to execute project initiatives and must be comfortable working in large teams with members across multiple organizations and disciplines.

Key Responsibilities
 

  • Primary responsibility is to underwrite Health Insurance applications within the designated underwriting authority granted.
  • Ensure that underwriting decisions are processed within agreed time frames internally or as per specific SLA signed with partners.
  • Provide underwriting opinions and responses by telephone and email within agreed turnaround times and maintain quality of service at all times.
  • Work with management and Health Center of Competence to develop underwriting efficiencies and maintain a robust quality checking process for the department.
  • Attend company and departmental meetings on behalf of Health Underwriting function and work with Sales and Client relations to drive new business growth.
  • The ability to continually monitor and review processes and procedures, including systems processes, and recommend the necessary enhancements when required.
  • The ability to make sound underwriting decisions in line with the underwriting guidelines and make commercial decisions when necessary.
  • Refer complex medical cases to assigned authority and work with functional lead to implement new underwriting guidelines where applicable.
  • Provide support to the Claims and Legal departments on non-disclosure, anti-selection or potential fraudulent cases and offer retrospective underwriting decisions.
  • Liaise with other departments, Partner and Sales representatives on a regular basis and provide underwriting support to all parties.
  • Deal with escalated queries and complaints promptly and effectively, and ensure that the manager is kept updated at all times.
  • Develop portfolio review strategies across health products to ensure business sustainability
  • Take part in projects when required, review documentation were applicable, research information relating to your area and provide feedback.
  • Participate in steering and quality assurance activities of partner TPAs.
  • Participate in external industry underwriting association to contribute towards further development and to gather market/regulatory insights which may be helpful to fine tune internal practices.


Key Requirements/Skills/Experience

  • Minimum of 5 years of experience in a Medical Underwriting role in Health Insurance. Additional general insurance experience preferred but not required
  • A high degree of technical knowledge covering all aspects of underwriting, including: medical underwriting, financial underwriting, occupational underwriting, avocational underwriting and residential underwriting.
  • Well-developed analytical skills and strong business acumen.
  • High level of negotiation skills.
  • High level of communication skills, both written and verbal.
  • Strong networking ability among peers both within the company and the industry as a whole.
  • High level of competence with regard to PC Software (MS Office etc.)
  • Good knowledge of regulatory environment with regard to GI & Health Insurance.
  • Ability to solve complex problems and develop solutions and communicate to the organization in an actionable manner
  • Ability to prioritize and to manage multiple projects with competing priorities
  • Strong leadership
  • Collaborative, with flexibility to work with different teams in digital and across firm
  • Bachelor’s degree required
  • Working command of Cantonese and English
  • Completed Tertiary Education in any Discipline


Additional Information

AGCS is dedicated to offering its employees an environment open for learning and development and hosts its own Underwriting Academy to drive continued excellence in underwriting and to better understand and serve our clients’ needs.

Reference Code

AGCS-HK-5833697-E

Allianz is the home for those who dare – a supportive place where you can take the initiative to grow and to actively strengthen our global leadership position. By truly caring about people – both its 88 million private and corporate customers and more than 140,000 employees – Allianz fosters a culture where its employees are empowered to collaborate, perform, embrace trends and challenge the industry. Our main ambition is to be our customers’ trusted partner, instilling them with the confidence to grow. If you dare, join us at Allianz Group.

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More job information
Job ref no. CT3118690-01#6552
Salary
  • N/A
Job Function
Industry
Location
  • Taikoo Shing
Employment Term
  • Full-time
Experience
  • 5 years - 10 years
Career Level
  • Non-management level
Education
  • Degree