This role uses specialist technical knowledge to assess risk for the business and/or specific products. The incumbent is individually accountable for achieving results through their own efforts.
The successful candidate will be expected to operate on an independent basis, utilizing different system platforms and adhering to set product rules and processes to determine the outcome of a claim, while meeting set quality and productivity standards. They will be expected to document critical thinking and communicate the outcomes verbally and in writing in a professional manner to the customer.
- Uses specialist technical knowledge (medical or financial) to assess risk for business and/or specific products (Underwriter – inclusive of Financial Risk assessment, Age Assessment, Health Risk (Anti Selection Risk) based on size and cover, governance assessment, Quality management all done within the underwriting guidelines and product rules.
- Uses specialist technical knowledge to evaluate and manage the validity of contracts and determine and manage the liability of claims (Assessor).
- Determines selects and accepts risk and/or liability on behalf of the organization (either medical or financial).
- Evaluates proposals and medical/financial evidence against business rules and practices.
- Exercises discretion in decision making within the standardized practice.
- Acts as mentor and coach for new staff.
Requirements and Qualifications
- Medically aligned degree (eg BSc OT; Physio; Nursing)
- Minimum 5 years of relevant work experience
Attributes / Competencies
- Executing
- Customer First
- Innovation
- Leading with Influence
- Leaning
Desired Skills:
- Medical
- Financial risk
- Age assessment
- Health risk
- Mentoring
Desired Work Experience:
- 5 to 10 years
Desired Qualification Level:
- Degree