Executive-Pre-Underwriting

Prudential Health India is seeking an Executive/Sr Executive Pre-underwriter to join their team in Mumbai.

As a Pre-underwriter, your typical week might include:

• Conducting tele/video underwriting calls to extract medical history questionnaires
• Following up with customers to obtain past medical records
• Summarizing medical records and test values
• Reviewing portability proposals and associated documents
• Managing counter-offers and proposal declines

The ideal candidate has a paramedical background (nursing/pharmacy or sciences), basic understanding of medical terminology, and excellent verbal communication skills.

Responsibilities:

• Tele/Video Underwriting Calls: Medical history questionnaire extraction precisely and comprehensively through conversation on a recorded line in an Audio or Video tools
• Medical Record Follow-Up: Proactively contact customers to follow up on the submission of past medical records. Drive timely and complete submission of all required documentation.
• Medical Summarization: Data entry of the medical records, test values and create summary of the case (like case history summarization)
• Portability Proposal & Document Review: Review portability proposals and associated documents for completeness and accuracy, identifying any discrepancies or missing information that needs to be addressed with the customer.
• Counter-Offer Management: Clearly explain counter offers to customers, addressing any queries or concerns they may have. Persuade customers to accept counter offers through effective communication and follow-up.
• Proposal Decline Handling: Compassionately and clearly explain the reasons for proposal declines to customers. Provide detailed explanations and, where possible, offer alternative solutions or guidance.

Requirements:

• Graduates from paramedical background (Nursing/pharmacy or Sciences background)
• Basic Understanding of Medical Terminology and interpreting medical records
• Basic understanding of medical codes ICD and Procedure (Good to have)
• Have excellent verbal communication skills
• Having basic computer knowledge
• Proficiency in English and Hindi is a must (additionally 1 or more regional language is preferable)
• 1-2 yrs of experience in insurance Underwriting / Tele MER calling (good to have)