Medical Underwriter

Found in: Appcast Linkedin IN C2 - 2 weeks ago

Mumbai, India RenewBuy Full time

Medical Doctor Underwriter– Life and Health


Roles & 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 the

medical documents

o 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 training

and validating AI algorithms used in healthcare applications.

o Identify areas where AI can be most beneficial in the insurance and healthcare domain, focusing

on tasks that complement physician workflows.

o Review and ensure the accuracy and safety of AI-powered healthcare solutions from a medical

perspective.

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 development

and client engagement strategies.


Client Engagement:


Participate in client meetings to understand their specific needs and challenges in the

healthcare 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 and

understanding of AI applications in healthcare.

o Participate in post-sales support, addressing client questions and concerns regarding using the

AI solution in a real-world healthcare setting.


Qualifications:


 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 understanding of medical ethics and data privacy regulations in healthcare.


 Strong Health Insurance Medical Underwriting and Claims understanding

 Should have participated in product development/implementation/framing medical underwriting

guidelines 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.

 Working knowledge of AI and Machine Learning concepts (a plus).


Note: This JD outlines the framework however finer work areas can be defined as per projects.

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