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.

Job Details

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