Team Member - Retail UW

Job Description

Basic Details:

Fill the required information about business, unit, location, position, reports to position and date of updation of JD

Business

Health Insurance

Unit

Aditya Birla Health Insurance Company Ltd

Location

Goregaon , Mumbai

Poornata Position Number of the job

Reports to: Poornata Position Number

Poornata Position Title of the job

Reports to: Poornata Position Title

Function

Underwriting

Reports to: Function

Underwriting

Department

Underwriting

Reports to: Department

Underwriting

Designation of the Employee s

OUW7 Underwriter -

Retail

Designation of the Manager

OUW5 Senior Underwriter -

Retail

Date of writing/updation of JD

17/1/2018

1) Position purpose:

Write the purpose for which the job exists (in 2-3 lines)

The role is required to carry out the operational tasks for the assigned retail underwriting policies by acting prudently in all aspects while accepting risk.

2) Dimensions:

Mention quantitative or qualitative parameters that are relevant for the job and deliver a better understanding of the scope and scale of the job.

Products Underwritten

Retail Health Indemnity, Personal Accident, Critical illness, hospital cash. Scope would include Retail Travel products, Loan-base products for Banca partners.

Underwriting Authority

Upto INR 3 Crore

UW decision TAT

UW decision to be given in 2 working days & to reduce TAT to 1 working day till next FY

Adherence to guidelines

Regular study of UW guidelines & make sure 99% accuracy in decision making

3) Position context & Key challenges: Write the specific aspects of the job that deliver a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section

About the Health Insurance Industry –

While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10,000 Crs sees close to 85 % of the business renewing with the existing service provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by building specific solutions to cater each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them.

Market Opportunities – With the advent of medical advancements, lifestyle changes, change in Indian socio-economic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele. Increasingly Indian clients have started considering health insurance partners as extensions of health advisers. In this scenario it becomes extremely important to understand their psyche and then deliver tailored solutions with wellness benefits which would help them meet their end objectives and bring in profitable revenue source for the company.

About the Aditya Birla Health Insurance –

Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in October 2016.

ABHICL has entered the competitive health insurance market with an aim to expand the category to wider client segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6

th

entrant in a category with well-established players, ABHICL is creating differentiation and equity for itself though the unique business proposition of “Health Insurance for All”, a one of a kind proposition in India at the moment. This is a philosophy that is being built through every single consumer touch point and into every single backend process of the company to make sure a client's experience of our proposition is continuous and seamless.

ABHI's unique offering to market includes proposition includes -

A Comprehensive Incentivized Wellness Program that will attract the young and health conscious and will motivate, guide and reward them to stay healthy

A Chronic Care Management Program to cater to the unmet needs of a growing Indian population of those suffering from chronic lifestyle conditions like Diabetes, Asthma, High Cholesterol and Hypertension from Day 1

ABHICL serves as an enabler and influencer of health and healthcare choices that clients make, in addition to being a payer of healthcare expenses. Thus, ABHICL would act like a much needed catalyst to grow the prevalent health insurance landscape in India through product innovations and a wider choice of consumer relevant products.

ABHICL's vision has always been digital. The company has been successful in adopting paper-less approach right from identifying to on-boarding to delivering seamless experience of its clients & employees.

Key Challenges for the role –

With changing lifestyle habits, following a set pattern for retail underwriting is becoming difficult. Hence each case may need to be reviewed individually as similar demographics & geographies no longer have similar medical history & background.

Make sure seamlessness across different functions on which the group's key outcomes are dependent.

Handling Client grievance in view of miss-selling

Technical System dependency in reaching the targeted TAT

4) Core result areas: Write the key results expected from the job and the assisting actions for each of these core result areas (For a majority of jobs typically there could be 4- 7 core result areas)

Core result areas

Assisting Actions

Make sure adherence to UW guidelines

Assisting in building the underwriting guidelines for each product to reach profitability.

Aiding in carrying out regular market mapping to gain maximum market share along with upholding profitability.

Quick and accurate underwriting decision ,upholding high quality service, standards, meeting business targets

Underwrite transactions authority limits within defined TATs

Recommend decisions for transactions beyond authority limits

Appropriate & timely resolution of escalations

System UAT

System Qualifications to be understood thoroughly

Assisting in carrying out UAT to make sure the correct delivery of qualifications

5) Position purpose of Direct Reports: Describe the position purpose of the direct report/s to the job (in 2-3 lines for each report)

Nil

6) Relationships: Describe the nature and purpose of most important contacts or relationship (except superior/group members) with individuals, departments, organizations inside and outside of the organization, that job is required to interact with in order to deliver the job objectives

Relationship Type

Frequency

Nature

Internal

Sales

IT

Claims

Internal Audit Group

Provider Management Group

Product Group / Actuary Group

Need Based

Query Resolution

System enhancements/issues.

Clarifications / queries

Internal / External Audit

Queries resolution/General enquiry

New product development/launch related

External

Policyholders

Vendors

External auditors

Reinsurers

Need based

Conveying decisions/ query resolution

Recruitment of outsourced employees.

Sending audit reports

For facultative cases completion, Training & Audit etc

7) Organizational Relationships: Deliver the structure for a level above and below the position for which this job description is written. Use position titles in the structured and indicate all the reports of the position.

SIGN-OFF: Deliver the name of the Manager and the jobholder. Signature needed for the hard copy of the JD. Hard copy to be maintained in the organizational record.

Job Holder

Reports to – Manager

Name

Signature (needed for the hard copy)

This opening is for the Team Member - Retail UW position in Thane - GCorp.