PHI - Executive- Pre-Underwriting

Prudentials 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 peoples career ambitions. We pledge to make Prudential a place where you can Connect Grow and Succeed.

Prudential (UK) in partnership with HCL group plans to set-up a standalone Indian health insurance company to address the growing healthcare needs of the Indian consumer.

This joint venture will combine Prudentials global expertise in insurance and financial services with HCL Groups experience in technology and healthcare solutions.

Prudential with its longstanding presence in India already operates two leading businesses in life insurance and asset management with the ICICI Group. Prudential was also the proud sponsor of the 1983 Cricket World Cup Indias first World Cup Victory!

Prudential Health India is a Zero to One team undertaking a no-legacy greenfield health insurance deployment in India building journeys that truly empathize with the customer and offer a differentiated experience.

To partner us in this mission we are looking for a talented Pre-Underwriter located at Mumbai.

Executive / Sr Executive Pre-underwriting

As a Pre-underwriter your typical week might include the following.

• Tele/Video Underwriting Calls: Medical history questionnaire extraction precisely and comprehensively through conversation on a recorded line in an Audio or Video tools
• Medical Record Follow-Up: Proactively contact customers to follow up on the submission of past medical records. Drive timely and complete submission of all required documentation.
• Medical Summarization: Data entry of the medical records test values and create summary of the case (like case history summarization)
• Portability Proposal & Document Review: Review portability proposals and associated documents for completeness and accuracy identifying any discrepancies or missing information that needs to be addressed with the customer.
• Counter-Offer Management: Clearly explain counter offers to customers addressing any queries or concerns they may have. Persuade customers to accept counter offers through effective communication and follow-up.
• Proposal Decline Handling: Compassionately and clearly explain the reasons for proposal declines to customers. Provide detailed explanations and where possible offer alternative solutions or guidance.

You could be the right candidate if you

• Graduates from paramedical background (Nursing/pharmacy or Sciences background)
• Basic Understanding of Medical Terminology and interpreting medical records
• Basic understanding of medical codes ICD and Procedure (Good to have)
• Have excellent verbal communication skills
• Having basic computer knowledge
• Proficiency in English and Hindi is a must (additionally 1 or more regional language is preferrable)
• 1-2yrs of experience in insurance Underwriting / Tele MER calling (good to have)

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 want. Have an attentive ear to listen to new ideas.
• Like working in a culture where everyone can see what others are doing.
• Take help from others when they are stuck and encourage others when there are setbacks.
• Take full responsibility for your teams contribution output while thinking wing-to-wing across the organization.
• Have Medium to high medical terminology and knowledge with great collaborative and summarization skills
• Passionate about building something best-in-class processes from scratch
• Are passionate about leveraging digital tools to transform customer experience

Location: Mumbai

Title: Executive-Pre-Underwriting

Reporting to: Manager - Underwriting

Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex race age ethnic origin educational social and cultural background marital status pregnancy and maternity religion or belief disability or part-time / fixed-term work or any other status protected by applicable law. We encourage the same standards from our recruitment and third-party suppliers taking into account the context of grade job and location. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.