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Health Insurance Underwriting Specialist
hace 4 días
**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 service-oriented 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 problem-solving skills.
- Detail-oriented.
- Effective planning, organization, and time management skills.
- Flexibility, proactivity, and self-motivation.
- Proficiency with Microsoft Office.
- Team player.
At ttg,** “We believe in making a difference One Person at a Time,” **ttg OPT
