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4.0 - 10.0 years
5 - 7 Lacs
Bengaluru, Karnataka, India
On-site
You could be the right candidate if you Qualification: - Doctor (MBBS preferred /BAMS/BHMS/BDS) Should be a decisive & creative individual. Should be able to make quick decisions and have good judgment and analytical skills. Have an excellent verbal and written communication skills and strong negotiation skills. Always open to embracing change and be able to manage it. Have 7+ years experience of medical underwriting and at least 6yrs of exclusive experience in health insurance Underwriting. Managed team with people from Medical and Non-Medical background Manage partners for day to day transactions with focus on the qualitative outcome. This could be the gig for you if you Are passionate about consumer behavior and culture; enjoy spending time with customers to understand what they really want. Have an attentive ear listen to new ideas. Thrive in environments that celebrate co-creation and collaboration Have strong clinical knowledge and clinical decision-making skills Have built best in class processes from a scratch Are passionate about leveraging digital tools to transform customer experience Like to work in a culture where everyone can see what others are doing Take help from others when stuck and encourage others when there are setbacks Take full responsibility for your team s contribution output while thinking wing to wing across the organization; to solve for the customer
Posted 4 days ago
3.0 - 7.0 years
0 Lacs
noida, uttar pradesh
On-site
You will be responsible for analyzing applications for individual insurance policies. This includes assessing medical histories, claims data, and other relevant information to evaluate the level of risks involved. Your role will involve reviewing medical records and underwriting reports to make informed decisions on coverage, as well as determining appropriate coverage levels and premiums based on risk assessment. Additionally, you will be required to approve, modify, or decline insurance applications in accordance with company guidelines. Ensuring compliance with state and federal regulations in underwriting practices is a crucial part of this role. Your responsibilities will also include participating in the development and enhancement of underwriting tools and processes. You will be expected to identify opportunities to streamline workflow and improve accuracy in risk assessment. This position is for Medical Underwriter Role (AM and LAM Position) with a requirement of major experience in underwriting, not in summarization. The shifts are US only (from BPO) and the location is Noida. The educational requirement is graduation, and non-MBBS candidates are eligible to apply. To apply for this role, kindly share your resume on the mentioned email id.,
Posted 5 days ago
5.0 - 10.0 years
10 - 15 Lacs
Thane, Mumbai (All Areas)
Work from Office
Underwriting of Retail Health, Personal Accident & Travel proposals Team Management IRDAI related UW activities Processing of Non Disclosures/Frauds /Audit /ISO/IRDA data Crucial MIS & analysis for Garo data Back up for handling pre-policy activities Required Candidate profile BAMS, BHMS, BDS or Similar 5+ years of experience in Health Insurance & Underwriting Good knowledge of Risks, Processes & Data Collection & Analysis Must know IRDAI related process Good communication Perks and benefits Good Opportunity
Posted 1 week ago
1.0 - 6.0 years
3 - 8 Lacs
Kochi, Mumbai (All Areas)
Work from Office
Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon , Kochi, Bangalore & MumbaiRole & responsibilities Preferred candidate profile
Posted 1 week ago
2.0 - 7.0 years
3 - 8 Lacs
Gurugram, Bengaluru
Work from Office
Hiring for Medical Underwriters- Health Insurance Only M.B.B.S - BPT, BDS, BMS, MPT Job Role- To assess the risk associated with insuring individuals or groups, evaluate medical history, and determine policy terms, coverage limits, and premiums, all while adhering to company policies and industry regulations. Experience Required - Minimum 2+Years of Experience Locations - Gurgaon Chennai (Tamil) Kochi (Malayalam) Interested candidates can directly share their resumes on simranbagga@policybazaar.com or 9311501270
Posted 1 week ago
5.0 - 10.0 years
18 - 20 Lacs
Noida, Delhi / NCR, Mumbai (All Areas)
Work from Office
Role Summary We are seeking an experienced professional in health analytics to lead insurance benefits data analysis, trend identification, and strategy development to optimize client outcomes. This position involves tool adoption, claims analytics automation, CRM coaching, and collaboration across functions to deliver data-driven consulting. Key Responsibilities Claims Analysis & Strategy Development Analyze group health insurance claims data to identify cost drivers, trends, and anomalies. Conduct deep-dive root cause and impact analysis to support strategic cost optimization. Generate actionable insights and recommendations to improve client claim outcomes. Collaborate with internal teams to ensure accurate data collection, reporting, and automation. Tool Implementation & Innovation Drive adoption of tools such as Pulse , Explorer , OLB Platform , and Health Risk Analyzer . Identify new tools or enhancements to improve analytical depth and client value. Monitor tool performance and incorporate feedback for continuous improvement. Well versed with Python CRM Coaching & Enablement Coach Client Relationship Managers (CRMs) on presenting complex analytics and storytelling. Develop and deliver training materials and workshops on data interpretation and client engagement. Support CRMs in enhancing client conversations using data-driven insights. Client Engagement & Collaboration Partner with CRMs to understand client needs and tailor analytics solutions. Build strong working relationships with key stakeholders. Support clients in aligning benefits strategies with their business objectives.
Posted 1 week ago
0.0 - 5.0 years
2 - 3 Lacs
Coimbatore
Work from Office
Dear Aspirants, Greetings from eNoah iSolution India Private Limited @ Coimbatore !!! Mega Walk-in Interview for Medical Underwriters - Day Shift @ Coimbatore on 26-07-2025 (Saturday) 10 AM to 2 PM Position : Associate/Sr. Associate Job Location: Coimbatore Job Type : Permanent Role Duration : Full - Time Work Timings : Work From Office - Day Shift Working Days: Monday - Friday Job Specifications:- Need to review medical records. Eliminate non medical documents as per process guideline. Prepare document as per client specification. Desired Skills:- Should have good knowledge in Anatomy and Physiology. Should have good knowledge of medical terminology, diseases, and treatment. Strong Analytical skill required. Ability to identify and solve problems. Should be a Logical thinker & Good decision maker. Eligibility:- Fresh graduates are only eligible. Candidates should have provisional Certificate. Only Life Science Graduates UG/PG both can apply ( Bio-Technology, Microbiology, Bio-Chemistry, Bio-Medical Engineering & Food Nutrition and Dietetics). 0-5 Years of Experience in Medical Underwriting can apply. Interested Candidates can attend Direct Walk on 14-06-2025 (Saturday) (10 AM - 3 PM) Venue : #101, 9th Floor, Classic Towers, 1547, Trichy Road, Coimbatore-641 018. While coming for the interview bring, 2 Copies of Resume. UG/PG Provisional Certificate - (Xerox copy) or 6th Sem Result published - (Xerox Copy) Thanks and Regards, Pravin R - eTAG
Posted 1 week ago
1.0 - 6.0 years
6 - 7 Lacs
Gurugram
Work from Office
Visit Health Consultant- Video MER Underwriter FULL-TIME GURUGRAM About us Visit Health is changing the face of employee health and wellness in India. 1 mn+ users across 200+ large Indian conglomerates to new age start ups trust Visit as their Health and Wellness Partner, catering to the missing and unexplored Wellness Primary Healthcare needs. Traditionally, the term Employee Health Benefits was synonymous with insurance / hospitalisation benefits only; ie, Secondary Care. Whereas today, 90% of individual healthcare and wellness related expenses in India are out of pocket on Primary Care; be it Mental Wellness, Fitness, Nutrition, Diagnostics, Medicines, and most of all, regular doctor appointments. The Covid-19 Pandemic has not only caused such expenses to increase multi fold, but also created a need for accessible systems. In a professional setting, such offerings are either lacking, or provided in an ad hoc, broken manner through various individual platforms. As a result, the experience for an employee is disconnected, with limited utilisation and engagement. This is where Visit Health comes in - a one stop solution for all employee health benefits needs. We help Companies build a Customized Wellness solution focused on Primary Care aspects such as Fitness, Mental Health, Doctor Teleconsultation, OPD programs, etc. for employees and their families, thereby reducing out of pocket expenses and creating healthier workforces. We have stitched up the broken pieces of employee health benefits in India to make one streamlined platform while increasing employee engagement through gamification. Visit Health has raised in total of $9million and is backed by renowned investors such as PolicyBazaar, Twitter Co-founder Biz Stone and Kunal Bahl of Snapdeal. Don't just take take our word. Check us out @ https://vsyt.me/o/app We are looking for a Consultant - Video MER Underwriter to join our high energy team You will have a direct impact on the Health Insurance applications of our clients applicants. You will work as part of a high-energy team that scaling across all MER functions. Pushing high quality Medical Underwriting applications while also balancing the pros/cons of speed/quality will be critical. As part of your day-to-day work, you will Conduct video-medical verification for the insured members. Complete cases for Video MER. Video calling applicants of health insurance, creating their Medical Underwriting. Advanced knowledge of medical terminology, anatomy, physiology, disease processes, signs and symptoms, medications, and laboratory values is a must. Calling up the users, analyzing their health profile and creating a Medical Examination Report and take records of the same in the prescribed format. Must Haves Medical bachelor degree with state level MEDICAL REGISTRATION. Good communication skills. Fluent in English/Hindi/ any other regional language. Must have medical knowledge. Good public dealing. The medical officer must be either an MBBS/BHMS/BAMS/BDS. The candidate should be highly skilled and acquainted with proper protocols and medical terminologies. Kindly note this is a full-time, work from office opportunity for Gurugram location.
Posted 1 week ago
1.0 - 6.0 years
6 - 7 Lacs
Gurugram
Work from Office
Job Title: Medical Underwriter (On-site) Location: Gurgaon Duration: Contractual Salary: 60,000 - 75,000 per month Joining: Immediate Job Overview: We are hiring experienced Medical Underwriters for Gurgaon . The ideal candidates will be responsible for evaluating medical risks, reviewing applications, and making underwriting decisions based on medical history and policy guidelines. Key Responsibilities: Assess and underwrite medical insurance applications based on industry standards and company guidelines. Analyze medical reports, diagnostic tests, and case histories to determine risk exposure. Make underwriting decisions based on pre-existing diseases (PED), medical conditions, and other risk factors. Work closely with medical professionals and internal teams for case discussions. Ensure compliance with underwriting policies and regulatory guidelines. Document underwriting decisions and provide clear justifications for approvals, rejections, or modifications in coverage. Requirements: Experience: Minimum 3+ years in Medical Underwriting (Health or Life Insurance). Qualifications: MBBS, BHMS, BAMS, BDS Skills: Strong knowledge of medical underwriting principles and risk assessment. Ability to analyze and interpret medical reports. Excellent decision-making and communication skills. Understanding of regulatory and compliance requirements. Proficiency in underwriting tools and software. Work Schedule: Days: Monday to Saturday Hours: 10 AM 7 PM (or as per company requirements) CTC- 4.5 LPA To 8 LPA
Posted 1 week ago
1.0 - 6.0 years
1 - 2 Lacs
Thane
Work from Office
Job description We are pleased to announce a job opening for the position of Telemedical Underwriter at Nu10 Technologies Private Limited Banglore. Position: Telemedical Underwriter Department: Underwriting Location: Thane (Maharashtra) Job Summary: As a Telemedical Underwriter, you will play a crucial role in our underwriting process by assessing and evaluating insurance applications remotely using telemedical technologies. You will work closely with our team of underwriters, medical professionals, and technology experts to ensure accurate risk assessment and efficient decision-making. Responsibilities : Telemedical Verification: Conduct telemedical verifications for insured members using audio, chat, and video communication channels to create comprehensive Medical Examination Reports (MER). Analyze medical records, test results, and other relevant documentation to assess the insurability and risk level of applicants. Interactive Health Assessments: Initiate and facilitate calls or video sessions with insured members to assess their health conditions and gather essential medical information. Medical Underwriting: Evaluate and analyze the medical risks associated with insured members to contribute to the medical underwriting process Medical Expertise: Demonstrate advanced knowledge of medical terminology, human anatomy, physiology, disease processes, signs and symptoms, medications, and laboratory values to ensure accurate assessments and reports. Multilingual Advantage: Proficiency in a vernacular language is an added advantage, enabling effective communication with insured members who prefer to converse in their native language. Profile Analysis and Documentation: Analyze the health profiles of insured members, create detailed Medical Examination Reports (MER), and maintain records in the prescribed format. Technical Skill: Utilize telemedical technologies and platforms effectively to conduct interviews, review documents, and maintain accurate records. Qualifications: Medical degree (BHMS, BAMS, BDS) from an accredited institution. Valid medical license and certification. Strong medical knowledge encompassing terminology, anatomy, physiology, disease processes, medications, and laboratory values. Excellent communication and interpersonal skills. Strong analytical and critical thinking skills to assess and evaluate complex medical information Familiarity with telemedical technologies and platforms, with the ability to adapt quickly to new systems. Multilingual skills (an advantage). Excellent communication skills, both verbal and written, to conduct telemedical interviews and prepare comprehensive reports Prior experience in telemedicine or health insurance (preferred). Ability to work independently, manage time effectively, and meet deadlines Attention to detail, accuracy, and confidentiality in handling sensitive medical and personal information. Salary : The salary for this position will be commensurate with experience and qualifications. How to Apply: If you are a dedicated medical professional with the expertise to contribute to our mission of revolutionizing health insurance through telemedicine, please submit your resume and a cover letter detailing your qualifications and relevant experience to gayatriv@nu10.co with the subject: "Telemedical Underwriter Application - [Your Name]." We appreciate your interest in joining our team and will carefully review all applications received. Shortlisted candidates will be contacted for further steps in the selection process. Thank you for considering this opportunity with NU10. We look forward to receiving your application Role & responsibilities Preferred candidate profile
Posted 1 week ago
1.0 - 6.0 years
0 - 0 Lacs
bangalore, darbhanga, idukki
On-site
Applying knowledge of medical terminology and procedures to evaluate clinical documents. Collecting medical information from healthcare providers and updating medical records. Verifying the accuracy of patient medical information and obtaining missing information. Monitoring diagnoses, treatments, and follow-up entries in medical records. Interpreting and preparing clinical reports for healthcare professionals and public health officials. Meeting with healthcare stakeholders to explain findings and facilitate actions. Ensuring that the content and storage of medical documents comply with federal laws. Training medical and administrative staff in standard medical recordkeeping procedures. Keeping abreast of advancements in the field of clinical documentation and changes in regulations.
Posted 2 weeks ago
3.0 - 7.0 years
0 Lacs
jaipur, rajasthan
On-site
The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customers. Your main responsibilities will include making decisions regarding approval, denial, or the need for further investigation based on MetLife's Medical Underwriting Guidelines. Additionally, you will provide guidance to SOH Reviewer 1 & 2 when necessary. Key deliverables of this role will include: - Reviewing customer Statement of Health forms and making decisions on approval, denial, or further investigation through medical records or exams - Understanding US medical underwriting guidelines and taking relevant actions based on received medical records - Reviewing medical condition reports and validating suggested medical treatment/medication - Understanding prescribed medicines by physicians and conditions associated with them - Identifying and obtaining missing information required for processing approval or decline - Following the defined SOP for Statement of Health procedures - Adhering to agreed timelines and SLAs MetLife, recognized on Fortune magazine's list of the "World's Most Admired Companies" and Fortune Worlds 25 Best Workplaces, is a leading financial services company providing insurance, annuities, employee benefits, and asset management globally. With operations in over 40 markets, MetLife aims to create a more confident future for colleagues, customers, communities, and the world. Join MetLife and be part of the #AllTogetherPossible movement.,
Posted 2 weeks ago
6.0 - 10.0 years
0 Lacs
karnataka
On-site
Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people's career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed. At Prudential Health India (PHI), we are on a mission to make Indians healthier, while bridging the health protection gap. This is a Zero to One team undertaking a greenfield health insurance deployment in India committed to building journeys that will truly empathize with the customer and offer a differentiated, bespoke experience. To partner us in this mission, we are looking for a talented Manager- Underwriting Management. As a Manager- Underwriting Management, your typical week might include the following: - Define and construct a new age underwriting workflow which is more customer-centric and tech-enabled. - Application of clinical expertise in decision-making. - Evaluation of prevailing underwriting practices & market comparison & analysis of data to help revise UW guidelines. - Alignment with cross-functional key stakeholders. - Owner of process adherence and managing health advisor as well as other partners involved in sourcing. - Mapping & maintaining SLA (Service Level Agreement) & TATs (Turn Around Times). - Define and own underwriting system & rules integrated with sourcing interfaces. - Key opinion holder for cross-functional alignment & projects. - Gathers and prepares preliminary clinical and medical analysis based on information from historical claims utilization data. - Develops/prepares reports and assists in the development of new/revised policies and guidelines based on utilization and clinical trends. - Prepare clinical and medical recommendations based on data summaries, trend analysis, financial analysis, and business analysis. - Provide support to rate development through timely and accurate clinical and medical analysis to ascertain future risks and support the underwriting and risk management decision. - Provides clinical and medical underwriting analysis for pricing and risk assessment selections and eligibility including financial, business, and trend analysis of data critical for decision making in achievement of business objectives. - Manage partner vendors for underwriting process eg., PPMC / MER. - Set up grounds up build for running onboarding and Underwriting management process. - Prepares clinical and medical analysis based on employer group utilization and claims data and coordinates with the appropriate wellness, medical and care management specialty teams to address these identified risks. - Expert in interpretation of ECG / TMT tracings, able to train the teams to opine in a structured format. - Assist and provides clinical and medical analysis on Actuarial research and studies and product development initiatives. - Prepares and may do presentations. Participates in cross-functional teams to develop new/enhanced systems/processes/programs/policies to support business needs. - Performs other duties that may be assigned from time to time. People Management: - Team management; work appraisals and growth of team; develop training, Coaching & Mentoring program; Conflict resolution; Attrition management. You could be the right candidate if you: - Qualification: - Doctor (MBBS preferred /BAMS/BHMS/BDS). - Should be a decisive & creative individual. - Should be able to make quick decisions and have good judgment and analytical skills. - Have excellent verbal and written communication skills and strong negotiation skills. - Always open to embracing change and be able to manage it. - Have 7+ years experience of medical underwriting and at least 6 years of exclusive experience in health insurance underwriting. - Managed team with people from Medical and Non-Medical background. - Manage partners for day to day transactions with focus on the qualitative outcome. This could be the gig for you if you: - Are passionate about consumer behavior and culture; enjoy spending time with customers to understand what they really want. Have an attentive ear listen to new ideas. - Thrive in environments that celebrate co-creation and collaboration. - Have strong clinical knowledge and clinical decision-making skills. - Have built best in class processes from scratch. - Are passionate about leveraging digital tools to transform customer experience. - Like to work in a culture where everyone can see what others are doing. - Take help from others when stuck and encourage others when there are setbacks. - Take full responsibility for your team's contribution output while thinking wing to wing across the organization; to solve for the customer. What can make you extra special: - It's great if you have already read books like Blue Ocean strategy, Measure what matters & Zero to One before you saw them mentioned here. - You have real stories to tell about how your team and you challenged convention and took the path less traveled. - We are keen to listen to your story; doesn't matter if you tell these stories with a sigh or with excitement. We respect both versions. Truly. Location: Mumbai Title: Manager- Underwriting Management Reporting to: Senior Manager Underwriting.,
Posted 2 weeks ago
0.0 - 1.0 years
0 - 3 Lacs
Noida
Work from Office
Responsibilities: Review client case information and determine required medical records and facilities involved. • Initiate medical record requests via fax, email, portals, or telephonic communication in compliance with HIPAA and client-specific protocols. • Regularly follow up with hospitals, clinics, and third-party record retrieval services (e.g., MRO, CIOX) to track the status of requests. • Escalate delays, incomplete records, or denials to appropriate stakeholders and take corrective action. • Update internal tracking systems, logs, and client databases (e.g., Clio, Filevine, Needles) with current status and notes. • Communicate professionally and clearly with providers, clients, and internal teams via email and calls. • Perform quality checks to ensure completeness and accuracy of received records before submission to legal teams. • Maintain turnaround time (TAT) and service level agreements (SLAs) for all assigned cases. • Review and analyze scanned medical records and bills and summarize them as per the guidelines. • Create concise and accurate summaries of patient medical histories, procedures, diagnoses, and treatment plans for internal use and billing purposes. • Maintain organized records of summarized information, ensuring compliance with legal and regulatory standards. Preferred Tools & Platforms Experience (Mandatory): • Clio, Filevine, Litify, or Needles • Record retrieval platforms (CIOX, MRO, ChartSwap, Sharecare) • SharePoint, Dropbox, Google Drive • Nitro, Microsoft word, excel, outlook. Key Skills: Strong understanding of medical terminology. Excellent written communication skills with attention to detail. Proficiency in Microsoft Office Suite and electronic health record (EHR) systems. Preferred Candidate Profile Bachelor's degree in life sciences is mandatory (BPT, MPT, BAMS, BHMS and BDS) Should have proficiency in Typing (30 WPM with 97% of accuracy) Should be flexible with 24*7 shift. Freshers can apply. Package: ~ 3.16 LPA for Freshers Preferred Candidate Profile: Candidates only BPT, BDS, BAMS & BHMS Walk In Details Venue - Provana, A-5 Sector 6 Noida. Time - 11 AM IST Kindly share your Updated resume if Interested on geetika.ghugtyal@provana.com
Posted 2 weeks ago
3.0 - 10.0 years
7 - 8 Lacs
Jaipur
Work from Office
The primary function of the Nurse Reviewer is to evaluate Statement of Health applications for Life coverages for Group customer. Also determine the need for additional medical information and decision making regarding the insurability of an applicant based on MetLife s Medical Underwriting Guidelines. Provide guidance to SOH Reviewer 1 & 2 on need basis. The key deliverables of the role will include but will not be restricted to the details below: Review customer Statement of Health form and make decisions regarding approval, denial, the need for further investigation in the form of medical records or exams Understand the US medical underwriting guidelines and navigate for relevant actions to be taken while initiating the final decision basis received medical records from physician (APSQ and APS) Review medical condition report (Paramed & Exam- Blood & Urine Report) and validate the suggested medical treatment/medication Understand the conditions for the prescribed medicines by physician Identify and obtain missing information required to process approve & decline condition Review Statement of Health procedures by using the defined SOP Adhere to agreed timelines and SLA s
Posted 2 weeks ago
0.0 - 3.0 years
0 Lacs
karnataka
On-site
As a Telemedical Underwriter at NU10, you will be an integral part of the underwriting process, utilizing telemedical technologies to remotely assess insurance applications. Working in collaboration with a team of underwriters, medical professionals, and technology experts, your primary responsibility will be to ensure accurate risk assessment and efficient decision-making. Your key responsibilities will include conducting telemedical verifications for insured members through various communication channels to generate comprehensive Medical Examination Reports (MER). By analyzing medical records, test results, and other relevant documentation, you will evaluate the insurability and risk level of applicants. Additionally, you will analyze health profiles, create detailed MER, and maintain records as per the prescribed format. Initiating and leading calls or video sessions with insured members to assess their health conditions and collect essential medical information will be part of your daily tasks. Your advanced knowledge of medical terminology, human anatomy, physiology, disease processes, medications, and laboratory values will enable you to provide accurate assessments and reports. Furthermore, you will evaluate and analyze medical risks associated with insured members to contribute to the medical underwriting process. Proficiency in a vernacular language is advantageous, as it facilitates effective communication with insured members who prefer conversing in their native language. To qualify for this role, you must hold a medical degree such as BHMS, BAMS, BDS, or MBBS, along with a valid medical license and certification. Strong medical knowledge encompassing various aspects of the field, excellent communication skills, analytical thinking abilities, familiarity with telemedical technologies, and multilingual skills are desirable qualities for this position. Prior experience in telemedicine or health insurance would be beneficial. If you are a dedicated medical professional passionate about revolutionizing health insurance through telemedicine, we encourage you to apply by submitting your resume and a cover letter to gaytriv@nu10.co with the subject line "Telemedical Underwriter Application - [Your Name]." We appreciate your interest in joining our team and look forward to reviewing your application.,
Posted 3 weeks ago
3.0 - 7.0 years
0 Lacs
pune, maharashtra
On-site
You are seeking a skilled Medical Underwriter to join our client's team in Kothrud, Pune. In this role, you will be responsible for assessing and evaluating medical risks associated with insurance applications, contributing significantly to underwriting policies and the company's profitability. Your key responsibilities will include analyzing medical records and diagnostic information to identify pre-existing conditions, potential risks, and health patterns. You will review insurance applications to determine appropriate coverage levels based on risk assessments and company guidelines. Collaboration with claims specialists and other underwriters to develop comprehensive risk profiles will be essential. Staying updated with medical advancements, treatment protocols, and industry trends is crucial for making informed underwriting decisions. Effective communication with insurance companies and clients to gather necessary information and explain underwriting decisions is also part of your role. Providing recommendations for risk mitigation strategies and ensuring compliance with regulatory requirements will be necessary. To qualify for this position, you should have 3 to 4 years of experience in medical underwriting or a related field. A Bachelor's degree in healthcare administration, nursing, biology, or a related field is required. Strong understanding of medical terminology, health conditions, and treatment modalities is essential. Excellent analytical skills, effective verbal and written communication skills, and high attention to detail in reviewing and analyzing medical records are important. You should be able to work independently and collaboratively in a fast-paced environment. Proficiency in MS Excel, databases, and relevant tools, along with knowledge of insurance regulations and compliance requirements, is necessary. Strong organizational skills to prioritize tasks and meet deadlines are also required. Join our client for a competitive compensation package and a supportive work environment focused on professional growth and development. If you are passionate about the insurance industry and eager to contribute to our client's success, we invite you to apply today.,
Posted 3 weeks ago
1.0 - 2.0 years
2 - 4 Lacs
Noida
Work from Office
Responsibilities: Review client case information and determine required medical records and facilities involved. • Initiate medical record requests via fax, email, portals, or telephonic communication in compliance with HIPAA and client-specific protocols. • Regularly follow up with hospitals, clinics, and third-party record retrieval services (e.g., MRO, CIOX) to track the status of requests. • Escalate delays, incomplete records, or denials to appropriate stakeholders and take corrective action. • Update internal tracking systems, logs, and client databases (e.g., Clio, Filevine, Needles) with current status and notes. • Communicate professionally and clearly with providers, clients, and internal teams via email and calls. • Perform quality checks to ensure completeness and accuracy of received records before submission to legal teams. • Maintain turnaround time (TAT) and service level agreements (SLAs) for all assigned cases. • Review and analyze scanned medical records and bills and summarize them as per the guidelines. • Create concise and accurate summaries of patient medical histories, procedures, diagnoses, and treatment plans for internal use and billing purposes. • Maintain organized records of summarized information, ensuring compliance with legal and regulatory standards. Preferred Tools & Platforms Experience (Mandatory): • Clio, Filevine, Litify, or Needles • Record retrieval platforms (CIOX, MRO, ChartSwap, Sharecare) • SharePoint, Dropbox, Google Drive • Nitro, Microsoft word, excel, outlook. Key Skills: Strong understanding of medical terminology. Excellent written communication skills with attention to detail. Proficiency in Microsoft Office Suite and electronic health record (EHR) systems. Preferred Candidate Profile Bachelor's degree in life sciences is mandatory (BPT, MPT, BAMS, BHMS, BUMS, and BDS) Should have proficiency in Typing (30 WPM with 97% of accuracy) Should be flexible with 24*7 shift. Freshers & experienced both can apply. Package: ~ 3.16 LPA for Freshers ~ up to 4.2 LPA for experienced Preferred Candidate Profile: Graduation is mandatory Should be flexible with 24*7 shift. Learning Opportunities Freshers can also apply, must have knowledge about medical terminologies Great work culture Positive Work Environment Immediate Joiners only *** Walk In Details Venue - Provana, A-5 Sector 6 Noida. Time - 11 AM IST
Posted 3 weeks ago
5.0 - 8.0 years
4 - 6 Lacs
Gurugram
Work from Office
Role & responsibilities : Reviewing and editing transcriptions for spelling, grammar, clarity and correct medical terminology Maintaining medical files and databases for various records such as medical histories Preferred candidate profile - Graduation in Medical Transcriptionist, Diploma in Medical Transcriptionist mandatory Diploma in Computers mandatory Perks and benefits
Posted 3 weeks ago
25.0 - 31.0 years
70 Lacs
Hyderabad
Work from Office
Candidates with minimum 25+years of experience ;in US - Life / Group Life / Annuities domain operations with 5 -10 years in BPS sales and solutions. Manage large scale Life & Annuity operations of 500+ FTEs cutting across the end to end Life & Annuity Process Value chain Money In Money Out Complex Change Illustration & Indexing Claims Product Administration Responsible for the overall management of the department which includes Driving Account P&L Unit Strategies Budgeting Resource Planning Hiring Training and Team Engagement in multiple geographic locations Capability Building Revenue forecast bench-marking the best practices and periodical project & Account Review In-depth knowledge & understanding of Products & Operations across any of the above domains Knowledge of Medical Underwriting and /or Life Claims Administration would be preferred Ability to understand Market/Industry trends and derive meaningful insights Experience of Transformation delivery in business operations and familiar with transformation tools / technology and Industry best-practices Ability to identify opportunities to optimize / transform processes through Lean Process Optimization Automation or Technology Transformation projects Strong written and verbal communication and presentation skills Ability to multi-task prioritize & organize tasks and manage time effectively Willingness to embrace change in a fast-paced work environment Flexible to work with Insurance Clients across geos US / EU / UK / ANZ Contact Person Marilakshmi S Contact Number -8056644158 Email id- marilakshmi@gojobs.biz
Posted 3 weeks ago
4.0 - 8.0 years
5 - 8 Lacs
Noida
Work from Office
Analyzing & summarizing medical records to support case evaluations, ensuring accuracy& adherence to timeline Identify key data points & compile concise summaries Maintain confidentiality & comply with medical record handling standard Call 9318431991 Required Candidate profile Graduate BDS, MPT, B Pharma with 4+ years of experience in US Healthcare medical records review or summarization Familiarity with medical terminology Comfortable with Night Shift Noida Location WFO
Posted 4 weeks ago
2.0 - 3.0 years
3 - 4 Lacs
New Delhi, Gurugram, Delhi / NCR
Work from Office
We are seeking a detail-oriented and analytical Underwriter Executive to join our Insurance Operations team. The role involves evaluating insurance applications, assessing risk, and making sound underwriting decisions in accordance with company policies and regulatory guidelines. The ideal candidate should have strong knowledge of underwriting principles, excellent decision-making skills, and a commitment to operational accuracy and compliance. Key Responsibilities: Review and assess insurance applications (life/general/health) for completeness, accuracy, and eligibility. Analyze risk factors such as age, health, occupation, financials, and claims history. Make underwriting decisions within assigned authority limits or escalate for further review. Collaborate with sales, medical underwriting, claims, and actuarial teams as needed. Communicate effectively with internal stakeholders regarding underwriting outcomes and documentation requirements. Ensure underwriting decisions comply with internal policies, industry standards, and regulatory requirements (e.g., IRDAI). Maintain accurate records of underwriting decisions and justifications in the system. Participate in audits, risk assessments, and process improvement initiatives. Keep updated with changes in underwriting guidelines, insurance products, and market trends. Qualifications: Bachelors degree in Insurance, Finance, Commerce, or a related field. 24 years of experience in insurance underwriting (life, health, or general). Sound knowledge of underwriting guidelines, reinsurance, and risk assessment practices. Familiarity with underwriting tools, CRM, and insurance management systems. Strong analytical and decision-making abilities. Excellent verbal and written communication skills. High attention to detail and accuracy in documentation. Role: UnderwriterIndustry Type: InsuranceDepartment: BFSI, Investments & TradingEmployment Type: Full Time, PermanentRole Category: General InsuranceEducationUG: Any GraduateKey SkillsSkills highlighted with ‘‘ are preferred keyskills Role & responsibilities Preferred candidate profile
Posted 4 weeks ago
2.0 - 7.0 years
4 - 9 Lacs
Pune
Work from Office
Designation: Underwriter - Life insurance Experience: 2 to 8 years Job Location: Pune Qualifications/Requirements: Education: Bachelor's degree in homoeopathy, pharmacy, physiotherapy, dental and any equivalent medical degree. Experience: Should have experience in life insurance underwriting or a related field in US/European domain. Familiarity with life insurance products and policies. Good to have knowledge of life insurance terminologies. German language knowledge is an added benefit. Skills: Strong analytical and decision-making skills with attention to details. Excellent communication and interpersonal skills. Proficiency in underwriting software and Microsoft Office applications. Attention to Detail: High level of accuracy in reviewing applications and assessing risks. This role is essential in ensuring the financial stability of an insurance company by managing risk effectively and maintaining a balance between competitive pricing and risk exposure. Roles/Responsibilities: You will be responsible for evaluating and assessing the risks involved in insuring individuals for life insurance policies. The primary goal is to determine whether to approve or deny insurance applications, and to set appropriate premiums based on the risk assessment. Risk Assessment: Evaluate applications for life insurance policies. Analyze medical records, financial information and lifestyle factors. Assess the risk level of applicants to determine insurability. Decision Making: Approve or deny applications based on underwriting guidelines and risk assessment. Determine appropriate premium rates for approved policies. Communication: Communicate decisions to insurance agents and brokers. Explain underwriting decisions and provide guidance on policy options. Compliance: Ensure all underwriting activities comply with state and federal regulations. Stay updated on changes in insurance laws and regulations. Data Analysis: Utilize underwriting software and tools to analyze data effectively. Monitor trends and patterns to inform underwriting practices. Disclaimer: At Allianz, we believe in a diverse and inclusive workplace and in giving fair and equitable opportunities to all our employees, so everyone can succeed. We, the Allianz Services India family, welcome all applications from all regardless of gender identity and/or expression, sexual orientation, race or ethnicity, age, nationality, religion, disability, or philosophy of life.
Posted 1 month ago
4.0 - 9.0 years
4 - 8 Lacs
Noida
Work from Office
EXL is Hiring for Medical Underwriting (BDS, MDS, BPT, MPT, BHMS, BAMS, BUMS, BMS, B Pharma, M Pharma) on 4th July'25 Salary- Upto 8LPA Candidate should be comfortable with work from Office and Night shifts. Excellent communication required. Designation -Senior Executive Minimum 4-5 Years of experience required in US Medical summarization. Candidate should have experience in US life/Health insurance medical underwriting Experience. Walk-in details- •Date & Time: 4th July'25 | 11:00 AM to 2:00 PM Please mention "Naukri | Apeksha " on top of your resume. Venue- Center for Talent, Ground floor, NSL TechZone, Sector 144, Noida PS: No electronic device apart from Mobile Phone is allowed in the office premises Please carry the following documents for interview eligibility: - Hardcopy of resume - 2 Photocopies of AADHAR/PAN - 2 Recent passport size photographs Basic Function The Medical Underwriter reviews applications for life, disability insurance and determines whether the requested coverage can be granted to the individual. Individuals in this role medically underwrite applications for Group Life, Long-Term Disability and/or Short-Term Disability Insurance. This is done by utilizing medical underwriting tools such as the Medical Information Bureau (MIB), medical records and/or medical examinations to assess risk. Information pertaining to the applicants past and present medical conditions are evaluated against company guidelines and decisions are made to either accept the applicant for coverage or decline the application. Principal Duties & Responsibilities To assess the overall risk by collecting, reviewing and analyzing an applicant's relevant history and records, obtain additional information to determine coverage needs, to give rating and to reduce the possibility of adverse selection against the insurer by applying the available insurance manuals guidelines. Skills required Knowledge of US Insurance /Medical Claims/US Healthcare is preferable In depth knowledge of medical terminology and body systems Ability to work in a high volume, fast paced environment while ensuring quality decisions
Posted 1 month ago
3.0 - 5.0 years
1 - 5 Lacs
Noida
Work from Office
Skill required: Group Core Benefits - Group Disability Insurance Designation: Insurance Operations Analyst Qualifications: Bachelor of Pharmacy,Bachelor in Physiotherapy,Bachelor of Dental Surgery Years of Experience: 3 - 5 Years About Accenture Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. Visit us at www.accenture.com What would you do We help insurers redefine their customer experience while accelerating their innovation agenda to drive sustainable growth by transforming to an intelligent operating model. Intelligent Insurance Operations combines our advisory, technology, and operations expertise, global scale, and robust ecosystem with our insurance transformation capabilities. It is structured to address the scope and complexity of the ever-changing insurance environment and offers a flexible operating model that can meet the unique needs of each market segment.The benefits of having a strong core include injury prevention, reduction of back pain, improved lifting mechanics, balance, stability, and posture, as well as improved athletic performance.Group disability coverage is tied to employment. If change or loss of job, the coverage is not portable. The cost of group coverage can also change from year to year. It is a sort of insurance that pays out if a policyholder is unable to work and earn an income due to a disability. What are we looking for Ability to establish strong client relationshipAbility to handle disputesAbility to manage multiple stakeholdersAbility to meet deadlinesAbility to perform under pressure0-5 years of experience in Medical Underwriting work.Possess excellent medical knowledge, including a strong grasp of medical terminologies and complex and complex disease condition.Knowledge of MS Office Tools and good computer knowledge. Roles and Responsibilities: In this role you are required to do analysis and solving of increasingly complex problems Your day to day interactions are with peers within Accenture You are likely to have some interaction with clients and/or Accenture management You will be given minimal instruction on daily work/tasks and a moderate level of instruction on new assignments Decisions that are made by you impact your own work and may impact the work of others In this role you would be an individual contributor and/or oversee a small work effort and/or team Please note that this role may require you to work in rotational shiftsEvaluating the eligibility of applicants seeking an insurance policy. Reviewing each person s medical history and other factors such as age.Calculating individual risk and determining appropriate coverage and premium amounts.Assessing the risk involved in insuring an individual.Reviewing application files for life & disability products policies and determining eligibility coverage, premium rates, and exclusion policies.Complies with all regulatory requirements, procedures, and Federal/State/Local regulations.Review medical reports, data, and other records to assess the risk involved in insuring a potential policyholder.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability to identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Bachelor of Pharmacy,Bachelor in Physiotherapy,Bachelor of Dental Surgery
Posted 1 month ago
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