风险团队承保人
Risk Team Underwriter
我们正在寻找一位经验丰富的核保员加入我们的风险团队。在此职位上，你将作为个人人寿核保与企业合作伙伴之间的联络人，提供专业的核保专业知识，评估潜在风险，调查问题，并支持欺诈风险缓解工作。
我们能为您提供：
- 预计薪资：86,000 - 105,000美元，另有机会获得年度奖金。
- 401(k)计划，公司缴纳2%的金额，另有6%的匹配。
- 工作与生活平衡，包含带薪假期、个人时间和节假日。详情请查看我们的福利和优惠页面。
- 申请此职位的候选人目前及未来任何时候均不得要求雇主提供就业签证。
您将负责：
- 评估涉及MIB和医疗数据的核保推荐，提出建议，并判断是否需要进一步调查或转交特殊调查部门。
- 进行法医核保审查，包括背景调查、医疗记录审查以及与个人案例或核保项目相关的后期分析。
- 与核保负责人和合规部门合作，审查保险部的询问和州监管行动，并协调来自个人核保部门的回应。
- 进行可争议索赔审查，以识别潜在的虚假陈述，并将发现结果传达给理赔部门。
- 作为个人人寿核保团队和其他企业合作伙伴在医疗和财务核保流程、要求、工具和程序方面的专业资源。
您将具备：
- 在个人人寿核保方面有丰富经验，对医疗和财务核保流程有深入理解。
- 有评估复杂或升级核保案件的经验，包括审查医疗信息并识别潜在风险问题。
- 具备强大的调查和分析能力，能够从多个来源评估信息并做出合理的核保建议。
- 具备出色的沟通和协作能力，能够与核保、理赔、合规及其他业务伙伴有效合作。
- 对细节高度关注，能够清晰地记录和传达发现结果。
- 您倡导协作文化，重视不同的想法和意见，勇于倾听，在所有工作中保持好奇心。
- 能够远程办公，并具备高速网络接入条件。
查看英文原文
We are seeking an experienced Underwriter to join our Risk Team. In this role, you’ll serve as a liaison between Individual Life Underwriting and Corporate partners, providing specialized underwriting expertise to evaluate potential risk, investigate concerns, and support fraud-risk mitigation.
WHAT WE CAN OFFER YOU:
- Estimated Salary: $86,000 - $105,000, plus annual bonus opportunity.
- 401(k) plan with a 2% company contribution and 6% company match.
- Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.
- Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.
WHAT YOU'LL DO:
- Evaluate underwriting referrals involving MIB and medical data, provide recommendations, and determine when further investigation or referral to the Special Investigations Unit is appropriate.
- Conduct forensic underwriting reviews including background checks, medical record reviews, and post-issue analysis related to individual cases or underwriting programs.
- Partner with Underwriting Leaders and Compliance to review Department of Insurance inquiries and state regulatory actions and coordinate responses from the Individual Underwriting department.
- Conduct contestable claims reviews to identify potential material misrepresentation and communicate findings to the Claims department.
- Serve as a subject matter resource to Individual Life Underwriting teams and other Corporate partners on medical and financial underwriting processes, requirements, tools, and procedures.
WHAT YOU’LL BRING:
- Significant experience in Individual Life underwriting, with a strong understanding of medical and financial underwriting processes.
- Experience evaluating complex or escalated underwriting cases, including reviewing medical information and identifying potential risk concerns.
- Strong investigative and analytical skills, with the ability to evaluate information from multiple sources and make sound underwriting recommendations.
- Strong communication and collaboration skills, with the ability to work effectively with Underwriting, Claims, Compliance, and other business partners.
- Strong attention to detail and the ability to document and communicate findings clearly.
- You promote a collaborative culture, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
- Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.
PREFERRED:
- Experience with fraud-risk identification, forensic underwriting, or Special Investigations.
- Experience with contestable claims reviews or post-issue underwriting analysis.
- Experience working with Department of Insurance inquiries or state regulatory matters.
We value unique experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply!
If you have questions about your application or the hiring process, email our Talent Acquisition area at . Please allow at least one week from time of applying if you are checking on the status.
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Salary: C25 | Pay Scale: CRP C25 - AnnualOriginally posted on Himalayas