- MBBS degree from a recognized university.
- Minimum of 7 years of experience as a practicing physician Or Medical underwriting/ CMO role for more than 5 years in a life or health insurance company.
- Strong Health Insurance Medical Underwriting and Claims understanding
- Should have participated in product development/implementation/framing medical underwritingguidelines with insurers
- Excellent communication and interpersonal skills, with the ability to build rapport with clients from diverse backgrounds.
- Deep knowledge of health and life insurance in India and abroad
- Workable efficiency in MS suite would be an advantage.
Medical Underwriter - Mumbai, India - RenewBuy
Description
Medical Doctor Underwriter– Life and HealthRoles & Responsibilities:
Product Development:
Would be responsible for the accuracy of the health scoring models being developed.o Provide guidance and sign off for the classification, extraction and summary results of themedical documentso Validate the different solutions of providers/TPA for their accuracy and usability.o Collaborate with the AI development team to provide medical insights and expertise for trainingand validating AI algorithms used in healthcare applications.o Identify areas where AI can be most beneficial in the insurance and healthcare domain, focusingon tasks that complement physician workflows.o Review and ensure the accuracy and safety of AI-powered healthcare solutions from a medicalperspective.o Bridge the gap between technical terminology used by AI developers and the medical world,ensuring clear communication and avoiding misunderstandings.o Stay up-to-date on the latest advancements in AI and healthcare to inform product developmentand client engagement strategies.
Client Engagement:
Participate in client meetings to understand their specific needs and challenges in thehealthcare domain.o Translate complex AI functionalities into clear, medical terms for clients.o Demonstrate the AI solution's value proposition and how it addresses client needs.o Build trust and credibility with potential clients by showcasing your medical expertise andunderstanding of AI applications in healthcare.o Participate in post-sales support, addressing client questions and concerns regarding using theAI solution in a real-world healthcare setting.
Qualifications:
Note:
This JD outlines the framework however finer work areas can be defined as per projects.
