Health Insurance Underwriting Specialist

hace 1 semana


Colombia ttg Talent Solutions A tiempo completo

Health Insurance Underwriting Specialist

Medellín

Description:

Responsibilities:

  • Medically underwrite risks presented by new and existing individual policies, adhering to health underwriting guidelines, procedures, and company standards.
  • Review pertinent medical history of applicants to assess the degree of risk and make acceptance decisions under established guidelines.
  • Provide insurability options within company parameters, considering underwriting guidelines, claims costs, and plan options.
  • Explain and interpret medical decisions to internal departments and external agents/members, addressing inquiries about plans, exclusions, and providing medical expertise opinions for claims evaluation.
  • Communicate effectively with field representatives, medical personnel, and others to obtain additional information necessary for proper risk evaluation.
  • Independently perform daily tasks, including complex duties, with mínimal supervision. Analyze results and make recommendations based on thorough analysis.
  • Enforce confidentiality guidelines regarding agent/member general and medical information.
  • Stay updated on new medical information relevant to risk evaluation.

Requirements:

  • Foreign Medical Degree.
  • Minimum of 2 years of experience as a medical underwriter for a health and/or life insurance carrier.
  • Proficiency in medical expertise.
  • Experience in a customer serviceoriented environment.
  • Experience working with the Latin American market.

Other Skills:

  • Good oral and written skills in Portuguese, Spanish, and English.
  • Interpersonal effectiveness.
  • Strong medical judgment and problemsolving skills.
  • Detailoriented.
  • Effective planning, organization, and time management skills.
  • Flexibility, proactivity, and selfmotivation.
  • Proficiency with Microsoft Office.
  • Team player.
At ttg,
"We believe in making a difference One Person at a Time," ttg OPT

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