33 Health Insurance jobs in Malaysia
Underwriter - Health Insurance
Posted 7 days ago
Job Viewed
Job Description
ABOUT US
‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.
PURPOSE OF JOB
As an Underwriter for the Health Insurance department, you will evaluate and analyze data to assess risk and determine appropriate pricing for health insurance policies. Review submission materials to issue quote letters and provide underwriting recommendations. Coordinate and manage the renewal and new business processes to ensure timely and accurate completion. You’ll interact with brokers and clients, issue quotes, maintain organized and compliant files in accordance with company standards and regulatory guidelines.
This is a great opportunity for someone with a passion for health insurance underwriting, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth.
JOB RESPONSIBILITIES
- Maintain submission information for new business and renewals. Gather and Screen data required for analysis.
- Request additional information from broker/direct client and follow up on outstanding information.
- Utilize critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues inherent in ensuring the departmental goals are achieved.
- Underwrite non-standard cases and submit SHIC high risk applications to HIC for approval of suggested loadings.
- Process necessary documentation to broker.
- Answer phone calls and respond to emails regarding policy coverage or benefits and provide/request information as needed.
- Prepare correspondence (letters, email, etc.) to customers, brokers and third parties as needed.
- Coordinate renewal process (gather risk documentation and issue renewal letters, follow up on outstanding specs).
- Maintain up-to-date information in underwriting systems and risk files.
- Identify cases that require further medical evidence and submit requests for the same.
- Approve and provide health insurance quotes for individual applications and groups up to approved levels.
- Provide provisional health Insurance quotes for groups based on quote census within authority limit.
- Liaise with other departments to solve queries as necessary.
- Gather and share portability information with other insurers upon request.
- Meet or exceed employee monthly performance objectives.
- Contribute to achieving all departmental KPI’s.
- Perform other duties and responsibilities that may be assigned from time to time.
- Bachelor’s degree in Mathematics or related field desirable.
- Entry level experience underwriting experience in group life and health or related area.
- Professional certification in life or health insurance, through LOMA or HIA desirable.
- Strong analytical, communication, multi-tasking and organizational skills.
- Strong written, verbal and telephone communication skills
- Knowledge of underwriting principles and process
- Understands how to access, utilize and analyze necessary reference materials.
- Knowledge of existing systems
- Knowledge of policy forms and documentation
- Proficiency in Word, Excel & Access
Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
#J-18808-LjbffrUnderwriter - Health Insurance
Posted 7 days ago
Job Viewed
Job Description
ABOUT US
‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.
PURPOSE OF JOB
As an Underwriter for the Health Insurance department, you will evaluate and analyze data to assess risk and determine appropriate pricing for health insurance policies. Review submission materials to issue quote letters and provide underwriting recommendations. Coordinate and manage the renewal and new business processes to ensure timely and accurate completion. You’ll interact with brokers and clients, issue quotes, maintain organized and compliant files in accordance with company standards and regulatory guidelines.
This is a great opportunity for someone with a passion for health insurance underwriting, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth.
JOB RESPONSIBILITIES
- Maintain submission information for new business and renewals. Gather and Screen data required for analysis.
- Request additional information from broker/direct client and follow up on outstanding information.
- Utilize critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues inherent in ensuring the departmental goals are achieved.
- Underwrite non-standard cases and submit SHIC high risk applications to HIC for approval of suggested loadings.
- Process necessary documentation to broker.
- Answer phone calls and respond to emails regarding policy coverage or benefits and provide/request information as needed.
- Prepare correspondence (letters, email, etc.) to customers, brokers and third parties as needed.
- Coordinate renewal process (gather risk documentation and issue renewal letters, follow up on outstanding specs).
- Maintain up-to-date information in underwriting systems and risk files.
- Identify cases that require further medical evidence and submit requests for the same.
- Approve and provide health insurance quotes for individual applications and groups up to approved levels.
- Provide provisional health Insurance quotes for groups based on quote census within authority limit.
- Liaise with other departments to solve queries as necessary.
- Gather and share portability information with other insurers upon request.
- Meet or exceed employee monthly performance objectives.
- Contribute to achieving all departmental KPI’s.
- Perform other duties and responsibilities that may be assigned from time to time.
- Bachelor’s degree in Mathematics or related field desirable.
- Entry level experience underwriting experience in group life and health or related area.
- Professional certification in life or health insurance, through LOMA or HIA desirable.
- Strong analytical, communication, multi-tasking and organizational skills.
- Strong written, verbal and telephone communication skills
- Knowledge of underwriting principles and process
- Understands how to access, utilize and analyze necessary reference materials.
- Knowledge of existing systems
- Knowledge of policy forms and documentation
- Proficiency in Word, Excel & Access
Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
#J-18808-LjbffrUnderwriter - Health Insurance
Posted 7 days ago
Job Viewed
Job Description
PURPOSE OF JOB As an Underwriter for the Health Insurance department, you will evaluate and analyze data to assess risk and determine appropriate pricing for health insurance policies. Review submission materials to issue quote letters and provide underwriting recommendations. Coordinate and manage the renewal and new business processes to ensure timely and accurate completion. You’ll interact with brokers and clients, issue quotes, maintain organized and compliant files in accordance with company standards and regulatory guidelines. This is a great opportunity for someone with a passion for health insurance underwriting, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth. JOB RESPONSIBILITIES Maintain submission information for new business and renewals. Gather and Screen data required for analysis. Request additional information from broker/direct client and follow up on outstanding information. Utilize critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues inherent in ensuring the departmental goals are achieved. Underwrite non-standard cases and submit SHIC high risk applications to HIC for approval of suggested loadings. Process necessary documentation to broker. Answer phone calls and respond to emails regarding policy coverage or benefits and provide/request information as needed. Prepare correspondence (letters, email, etc.) to customers, brokers and third parties as needed. Coordinate renewal process (gather risk documentation and issue renewal letters, follow up on outstanding specs). Maintain up-to-date information in underwriting systems and risk files. Identify cases that require further medical evidence and submit requests for the same. Approve and provide health insurance quotes for individual applications and groups up to approved levels. Provide provisional health Insurance quotes for groups based on quote census within authority limit. Liaise with other departments to solve queries as necessary. Gather and share portability information with other insurers upon request. Meet or exceed employee monthly performance objectives. Contribute to achieving all departmental KPI’s. Perform other duties and responsibilities that may be assigned from time to time. Bachelor’s degree in Mathematics or related field desirable. Entry level experience underwriting experience in group life and health or related area. Professional certification in life or health insurance, through LOMA or HIA desirable. Strong analytical, communication, multi-tasking and organizational skills. Strong written, verbal and telephone communication skills Knowledge of underwriting principles and process Understands how to access, utilize and analyze necessary reference materials. Knowledge of existing systems Knowledge of policy forms and documentation Proficiency in Word, Excel & Access Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
#J-18808-Ljbffr
Vice President - Health Insurance
Posted today
Job Viewed
Job Description
‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.
PURPOSE OF JOB
We are seeking an experienced and dynamic Vice President – Health Insurance to lead our health insurance portfolio. In this executive role, you will oversee the full spectrum of operations including strategy, marketing, underwriting, administration, customer service, claims management, and overall profitability driving growth and excellence across the business.
JOB RESPONSIBILITIES
Strategic Management
· Develops strategic plans that include leveraging technology to maximize efficiency and profitability.
- Develops and oversees multi-year strategic business plan for the unit.
- Provides reports to Senior Leadership on overall business performance and other deliverables.
- Responsible for the growth of the portfolio by identifying new business and cross-selling opportunities.
- Obtains and optimizes the use of market intelligence, developing and launching suitable products and services, and cultivating a leadership role in the local industry.
- Recognizes business opportunities and threats and plans to accommodate them through long- and medium-term business development while keeping current with market trends through continuous study.
- Spearheads changes to existing protocols and policies across all levels of the organization to create a culture of excellence and profitable growth.
- Drive pricing strategies ensuring competitiveness and profitability.
- Monitor and manage the health loss ratio to ensure it remains within the set risk tolerance thresholds.
- Develop and manage the annual budget for the health unit.
- Monitor performance against budget, analyze variances, and provide actionable insights to senior leadership and the Board.
- Collaborate with the CFO on the health claims reserving (IBNR) and ensure adequate provisioning.
- Oversee the monthly renewals, monitor renewal retention rates and assess the financial impact of lapses, cancellations or lost accounts.
- Manage reinsurance programs related to health lines.
- Oversee health receivable management.
- Oversee claims recoveries from reinsurers.
- Support internal and external audits in relation to the health unit.
- Oversees the Underwriting team by providing direction and guidance on applications and establishing protocols.
- Oversees the development of new methodologies and models to assess the financial risk of the portfolio.
Claims Management
- Establishes a Claims Processing workflow that delivers acceptable levels of accuracy and timeliness.
- Manages the Claims Loss ratio and reports on trends.
- Ensures the efficiency of processing to meet all regulatory requirements.
Relationship Management
- Develops and maintains excellent relationships with the leadership team, business partners and other stakeholders, and staff.
- Maintains direct client, broker, provider, and reinsurer relations.
- Holds quarterly meetings with the HIC and proactively communicate items for awareness.
Compliance
- Ensures compliance with all company protocols, policies, and regulatory requirements.
- Develops and maintains knowledge, awareness, and understanding of company policies and procedures, goals and objectives, key performance indicators (KPI’s), plans and strategies, and work process improvements.
Customer Service
- Directs client communication and interface, which includes proactive communication, handling complaints, audit responses, account issues, and IT issues.
- Establishes the goals and objectives, standards, policies and procedures to achieve high-quality customer service outcomes in accordance with the company’s strategic plan.
- Monitor and promote increased client satisfaction.
People Management
- Provide proactive feedback to direct reports and other team members concerning possible issues, risks or areas of improvement.
- Technically manages the division through continuous training and directions of underwriting, claims, customer service, broker support and provider relations, including sign-off on exceptional underwriting and claim decisions.
- Responsible for ensuring appropriate resourcing levels through workforce planning.
- Establish operational and financials KPIs at the core of the department's performance management.
- Degree in business, finance, insurance, or economics from a recognized college or university.
- One advanced professional designation in life or health insurance, such as the FLMI, CEBS, or HIA.
- Ten years’ experience at the management level in health insurance. Two years of exposure each in underwriting, claims, operations, and customer care, preferred.
- Excellent leadership skills.
- interpersonal skills at all levels, including with cross-functional teams.
- Excellent oral and written communication skills.
- Knowledge of and familiarity with health technology solutions.
Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
#J-18808-LjbffrVice President - Health Insurance
Posted today
Job Viewed
Job Description
ABOUT US
‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.
PURPOSE OF JOB
We are seeking an experienced and dynamic Vice President – Health Insurance to lead our health insurance portfolio. In this executive role, you will oversee the full spectrum of operations including strategy, marketing, underwriting, administration, customer service, claims management, and overall profitability driving growth and excellence across the business.
JOB RESPONSIBILITIES
Strategic Management
· Develops strategic plans that include leveraging technology to maximize efficiency and profitability.
- Develops and oversees multi-year strategic business plan for the unit.
- Provides reports to Senior Leadership on overall business performance and other deliverables.
- Responsible for the growth of the portfolio by identifying new business and cross-selling opportunities.
- Obtains and optimizes the use of market intelligence, developing and launching suitable products and services, and cultivating a leadership role in the local industry.
- Recognizes business opportunities and threats and plans to accommodate them through long- and medium-term business development while keeping current with market trends through continuous study.
- Spearheads changes to existing protocols and policies across all levels of the organization to create a culture of excellence and profitable growth.
Financial Management
- Drive pricing strategies ensuring competitiveness and profitability.
- Monitor and manage the health loss ratio to ensure it remains within the set risk tolerance thresholds.
- Develop and manage the annual budget for the health unit.
- Monitor performance against budget, analyze variances, and provide actionable insights to senior leadership and the Board.
- Collaborate with the CFO on the health claims reserving (IBNR) and ensure adequate provisioning.
- Oversee the monthly renewals, monitor renewal retention rates and assess the financial impact of lapses, cancellations or lost accounts.
- Manage reinsurance programs related to health lines.
- Oversee health receivable management.
- Oversee claims recoveries from reinsurers.
- Support internal and external audits in relation to the health unit.
Underwriting
- Oversees the Underwriting team by providing direction and guidance on applications and establishing protocols.
- Oversees the development of new methodologies and models to assess the financial risk of the portfolio.
Claims Management
- Establishes a Claims Processing workflow that delivers acceptable levels of accuracy and timeliness.
- Manages the Claims Loss ratio and reports on trends.
- Ensures the efficiency of processing to meet all regulatory requirements.
Relationship Management
- Develops and maintains excellent relationships with the leadership team, business partners and other stakeholders, and staff.
- Maintains direct client, broker, provider, and reinsurer relations.
- Holds quarterly meetings with the HIC and proactively communicate items for awareness.
Compliance
- Ensures compliance with all company protocols, policies, and regulatory requirements.
- Develops and maintains knowledge, awareness, and understanding of company policies and procedures, goals and objectives, key performance indicators (KPI’s), plans and strategies, and work process improvements.
Customer Service
- Directs client communication and interface, which includes proactive communication, handling complaints, audit responses, account issues, and IT issues.
- Establishes the goals and objectives, standards, policies and procedures to achieve high-quality customer service outcomes in accordance with the company’s strategic plan.
- Monitor and promote increased client satisfaction.
People Management
- Provide proactive feedback to direct reports and other team members concerning possible issues, risks or areas of improvement.
- Technically manages the division through continuous training and directions of underwriting, claims, customer service, broker support and provider relations, including sign-off on exceptional underwriting and claim decisions.
- Responsible for ensuring appropriate resourcing levels through workforce planning.
- Establish operational and financials KPIs at the core of the department's performance management.
- Degree in business, finance, insurance, or economics from a recognized college or university.
- One advanced professional designation in life or health insurance, such as the FLMI, CEBS, or HIA.
- Ten years’ experience at the management level in health insurance. Two years of exposure each in underwriting, claims, operations, and customer care, preferred.
- Excellent leadership skills.
- interpersonal skills at all levels, including with cross-functional teams.
- Excellent oral and written communication skills.
- Knowledge of and familiarity with health technology solutions.
Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
#J-18808-LjbffrAssistant Underwriter - Health Insurance
Posted 7 days ago
Job Viewed
Job Description
ABOUT US
‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.
PURPOSE OF JOB
As an Assistant Underwriter for the Health Insurance department, you’ll analyze account-specific data, prepare pricing details, and coordinate the underwriting process for new business and renewals. You’ll issue quotes, maintain accurate records, and ensure underwriting files meet company standards and regulatory guidelines.
This is a great opportunity for someone with a passion for customer service, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth.
JOB RESPONSIBILITIES
- Maintain submission information for new business and renewals. Gather and Screen data required for analysis.
- Request additional information from broker/direct client and follow up on outstanding information.
- Utilize critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues inherent in ensuring the departmental goals are achieved.
- Underwrite non-standard cases and submit SHIC high risk applications to HIC for approval of suggested loadings.
- Process necessary documentation to broker.
- Answer phone calls and respond to emails regarding policy coverage or benefits and provide/request information as needed.
- Prepare correspondence (letters, email, etc.) to customers, brokers and third parties as needed.
- Coordinate renewal process (gather risk documentation and issue renewal letters, follow up on outstanding specs).
- Maintain up-to-date information in underwriting systems and risk files.
- Identify cases that require further medical evidence and submit requests for the same.
- Approve and provide health insurance quotes for individual applications and groups up to approved levels.
- Liaise with other departments to solve queries as necessary.
- Gather and share portability information with other insurers upon request.
- Meet or exceed employee monthly performance objectives.
- Contribute to achieving all departmental KPI’s.
- Perform other duties and responsibilities that may be assigned from time to time.
- Associate degree in Mathematics or related fields is desirable.
- Entry level experience underwriting experience in group life and health or related areas.
- Pursuing professional certification in life or health insurance, through LOMA or HIA is desirable.
- Strong analytical, communication, multi-tasking and organizational skills.
- Strong written, verbal and telephone communication skills
- Knowledge of underwriting principles and process
- Understands how to access, utilize and analyze necessary reference materials.
- Knowledge of existing systems
- Knowledge of policy forms and documentation
- Proficiency in Word, Excel & Access
Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
#J-18808-LjbffrAssistant Underwriter - Health Insurance
Posted 7 days ago
Job Viewed
Job Description
ABOUT US
‘First’ is more than our name, it’s our nature. Cayman First is an industry-leading Property & Casualty and Health insurer, delivering best-in-class products and services to respond to the changing needs of individuals, households and businesses. Through our carefully selected network of agents and brokers, we provide protection for our customers today and prepare them for a brighter tomorrow. Cayman First maintains an A- (Excellent) financial strength rating from global credit rating agency AM Best.
PURPOSE OF JOB
As an Assistant Underwriter for the Health Insurance department, you’ll analyze account-specific data, prepare pricing details, and coordinate the underwriting process for new business and renewals. You’ll issue quotes, maintain accurate records, and ensure underwriting files meet company standards and regulatory guidelines.
This is a great opportunity for someone with a passion for customer service, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth.
JOB RESPONSIBILITIES
- Maintain submission information for new business and renewals. Gather and Screen data required for analysis.
- Request additional information from broker/direct client and follow up on outstanding information.
- Utilize critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues inherent in ensuring the departmental goals are achieved.
- Underwrite non-standard cases and submit SHIC high risk applications to HIC for approval of suggested loadings.
- Process necessary documentation to broker.
- Answer phone calls and respond to emails regarding policy coverage or benefits and provide/request information as needed.
- Prepare correspondence (letters, email, etc.) to customers, brokers and third parties as needed.
- Coordinate renewal process (gather risk documentation and issue renewal letters, follow up on outstanding specs).
- Maintain up-to-date information in underwriting systems and risk files.
- Identify cases that require further medical evidence and submit requests for the same.
- Approve and provide health insurance quotes for individual applications and groups up to approved levels.
- Liaise with other departments to solve queries as necessary.
- Gather and share portability information with other insurers upon request.
- Meet or exceed employee monthly performance objectives.
- Contribute to achieving all departmental KPI’s.
- Perform other duties and responsibilities that may be assigned from time to time.
- Associate degree in Mathematics or related fields is desirable.
- Entry level experience underwriting experience in group life and health or related areas.
- Pursuing professional certification in life or health insurance, through LOMA or HIA is desirable.
- Strong analytical, communication, multi-tasking and organizational skills.
- Strong written, verbal and telephone communication skills
- Knowledge of underwriting principles and process
- Understands how to access, utilize and analyze necessary reference materials.
- Knowledge of existing systems
- Knowledge of policy forms and documentation
- Proficiency in Word, Excel & Access
Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
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Vice President - Health Insurance
Posted 1 day ago
Job Viewed
Job Description
PURPOSE OF JOB We are seeking an experienced and dynamic Vice President – Health Insurance to lead our health insurance portfolio. In this executive role, you will oversee the full spectrum of operations including strategy, marketing, underwriting, administration, customer service, claims management, and overall profitability driving growth and excellence across the business. JOB RESPONSIBILITIES Strategic Management · Develops strategic plans that include leveraging technology to maximize efficiency and profitability. Develops and oversees multi-year strategic business plan for the unit. Provides reports to Senior Leadership on overall business performance and other deliverables. Responsible for the growth of the portfolio by identifying new business and cross-selling opportunities. Obtains and optimizes the use of market intelligence, developing and launching suitable products and services, and cultivating a leadership role in the local industry. Recognizes business opportunities and threats and plans to accommodate them through long- and medium-term business development while keeping current with market trends through continuous study. Spearheads changes to existing protocols and policies across all levels of the organization to create a culture of excellence and profitable growth. Drive pricing strategies ensuring competitiveness and profitability. Monitor and manage the health loss ratio to ensure it remains within the set risk tolerance thresholds. Develop and manage the annual budget for the health unit. Monitor performance against budget, analyze variances, and provide actionable insights to senior leadership and the Board. Collaborate with the CFO on the health claims reserving (IBNR) and ensure adequate provisioning. Oversee the monthly renewals, monitor renewal retention rates and assess the financial impact of lapses, cancellations or lost accounts. Manage reinsurance programs related to health lines. Oversee health receivable management. Oversee claims recoveries from reinsurers. Support internal and external audits in relation to the health unit. Oversees the Underwriting team by providing direction and guidance on applications and establishing protocols. Oversees the development of new methodologies and models to assess the financial risk of the portfolio. Claims Management Establishes a Claims Processing workflow that delivers acceptable levels of accuracy and timeliness. Manages the Claims Loss ratio and reports on trends. Ensures the efficiency of processing to meet all regulatory requirements. Relationship Management Develops and maintains excellent relationships with the leadership team, business partners and other stakeholders, and staff. Maintains direct client, broker, provider, and reinsurer relations. Holds quarterly meetings with the HIC and proactively communicate items for awareness. Compliance Ensures compliance with all company protocols, policies, and regulatory requirements. Develops and maintains knowledge, awareness, and understanding of company policies and procedures, goals and objectives, key performance indicators (KPI’s), plans and strategies, and work process improvements. Customer Service Directs client communication and interface, which includes proactive communication, handling complaints, audit responses, account issues, and IT issues. Establishes the goals and objectives, standards, policies and procedures to achieve high-quality customer service outcomes in accordance with the company’s strategic plan. Monitor and promote increased client satisfaction. People Management Provide proactive feedback to direct reports and other team members concerning possible issues, risks or areas of improvement. Technically manages the division through continuous training and directions of underwriting, claims, customer service, broker support and provider relations, including sign-off on exceptional underwriting and claim decisions. Responsible for ensuring appropriate resourcing levels through workforce planning. Establish operational and financials KPIs at the core of the department's performance management. Requirements
Degree in business, finance, insurance, or economics from a recognized college or university. One advanced professional designation in life or health insurance, such as the FLMI, CEBS, or HIA. Ten years’ experience at the management level in health insurance. Two years of exposure each in underwriting, claims, operations, and customer care, preferred. Excellent leadership skills. interpersonal skills at all levels, including with cross-functional teams. Excellent oral and written communication skills. Knowledge of and familiarity with health technology solutions. Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
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Vice President - Health Insurance
Posted 1 day ago
Job Viewed
Job Description
PURPOSE OF JOB We are seeking an experienced and dynamic Vice President – Health Insurance to lead our health insurance portfolio. In this executive role, you will oversee the full spectrum of operations including strategy, marketing, underwriting, administration, customer service, claims management, and overall profitability driving growth and excellence across the business. JOB RESPONSIBILITIES Strategic Management · Develops strategic plans that include leveraging technology to maximize efficiency and profitability. Develops and oversees multi-year strategic business plan for the unit. Provides reports to Senior Leadership on overall business performance and other deliverables. Responsible for the growth of the portfolio by identifying new business and cross-selling opportunities. Obtains and optimizes the use of market intelligence, developing and launching suitable products and services, and cultivating a leadership role in the local industry. Recognizes business opportunities and threats and plans to accommodate them through long- and medium-term business development while keeping current with market trends through continuous study. Spearheads changes to existing protocols and policies across all levels of the organization to create a culture of excellence and profitable growth. Financial Management Drive pricing strategies ensuring competitiveness and profitability. Monitor and manage the health loss ratio to ensure it remains within the set risk tolerance thresholds. Develop and manage the annual budget for the health unit. Monitor performance against budget, analyze variances, and provide actionable insights to senior leadership and the Board. Collaborate with the CFO on the health claims reserving (IBNR) and ensure adequate provisioning. Oversee the monthly renewals, monitor renewal retention rates and assess the financial impact of lapses, cancellations or lost accounts. Manage reinsurance programs related to health lines. Oversee health receivable management. Oversee claims recoveries from reinsurers. Support internal and external audits in relation to the health unit. Underwriting Oversees the Underwriting team by providing direction and guidance on applications and establishing protocols. Oversees the development of new methodologies and models to assess the financial risk of the portfolio. Claims Management Establishes a Claims Processing workflow that delivers acceptable levels of accuracy and timeliness. Manages the Claims Loss ratio and reports on trends. Ensures the efficiency of processing to meet all regulatory requirements. Relationship Management Develops and maintains excellent relationships with the leadership team, business partners and other stakeholders, and staff. Maintains direct client, broker, provider, and reinsurer relations. Holds quarterly meetings with the HIC and proactively communicate items for awareness. Compliance Ensures compliance with all company protocols, policies, and regulatory requirements. Develops and maintains knowledge, awareness, and understanding of company policies and procedures, goals and objectives, key performance indicators (KPI’s), plans and strategies, and work process improvements. Customer Service Directs client communication and interface, which includes proactive communication, handling complaints, audit responses, account issues, and IT issues. Establishes the goals and objectives, standards, policies and procedures to achieve high-quality customer service outcomes in accordance with the company’s strategic plan. Monitor and promote increased client satisfaction. People Management Provide proactive feedback to direct reports and other team members concerning possible issues, risks or areas of improvement. Technically manages the division through continuous training and directions of underwriting, claims, customer service, broker support and provider relations, including sign-off on exceptional underwriting and claim decisions. Responsible for ensuring appropriate resourcing levels through workforce planning. Establish operational and financials KPIs at the core of the department's performance management. Degree in business, finance, insurance, or economics from a recognized college or university. One advanced professional designation in life or health insurance, such as the FLMI, CEBS, or HIA. Ten years’ experience at the management level in health insurance. Two years of exposure each in underwriting, claims, operations, and customer care, preferred. Excellent leadership skills. interpersonal skills at all levels, including with cross-functional teams. Excellent oral and written communication skills. Knowledge of and familiarity with health technology solutions. Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
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Assistant Underwriter - Health Insurance
Posted 7 days ago
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Job Description
PURPOSE OF JOB As an Assistant Underwriter for the Health Insurance department, you’ll analyze account-specific data, prepare pricing details, and coordinate the underwriting process for new business and renewals. You’ll issue quotes, maintain accurate records, and ensure underwriting files meet company standards and regulatory guidelines. This is a great opportunity for someone with a passion for customer service, who would like to work in the insurance industry. Here at Cayman First Insurance, we offer a supportive environment that encourages collaboration fosters professional growth. JOB RESPONSIBILITIES Maintain submission information for new business and renewals. Gather and Screen data required for analysis. Request additional information from broker/direct client and follow up on outstanding information. Utilize critical thinking and solid judgment to solve problems, make decisions, and resolve complex issues inherent in ensuring the departmental goals are achieved. Underwrite non-standard cases and submit SHIC high risk applications to HIC for approval of suggested loadings. Process necessary documentation to broker. Answer phone calls and respond to emails regarding policy coverage or benefits and provide/request information as needed. Prepare correspondence (letters, email, etc.) to customers, brokers and third parties as needed. Coordinate renewal process (gather risk documentation and issue renewal letters, follow up on outstanding specs). Maintain up-to-date information in underwriting systems and risk files. Identify cases that require further medical evidence and submit requests for the same. Approve and provide health insurance quotes for individual applications and groups up to approved levels. Liaise with other departments to solve queries as necessary. Gather and share portability information with other insurers upon request. Meet or exceed employee monthly performance objectives. Contribute to achieving all departmental KPI’s. Perform other duties and responsibilities that may be assigned from time to time. Associate degree in Mathematics or related fields is desirable. Entry level experience underwriting experience in group life and health or related areas. Pursuing professional certification in life or health insurance, through LOMA or HIA is desirable. Strong analytical, communication, multi-tasking and organizational skills. Strong written, verbal and telephone communication skills Knowledge of underwriting principles and process Understands how to access, utilize and analyze necessary reference materials. Knowledge of existing systems Knowledge of policy forms and documentation Proficiency in Word, Excel & Access Cayman First offers a competitive compensation package with eligibility for a discretionary bonus, subsidized health insurance for employees and dependents, preferred home and motor insurance, a great company culture and work life balance. Compensation will be commensurate with experience and qualifications.
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