Health Insurance Underwriting Specialist (Colombia)

Health Insurance Underwriting Specialist

Medellín

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 minimal supe...