Underwriting Administrator - Smart Service (Sandton) at Discovery Limited

Key Purpose of the role

Assisting the underwriters with general administration related to underwriting. Ensure all the documents required by the underwriters are requested, sourced from suppliers e.g. Doctors, paid for and provided to the underwriters in their entirety. Answer all queries pertaining/related to underwriting. Ensure brokers are well informed by providing accurate information to them in order to adequately support clients. Attend to requests for members who want to be seen by our nurses. Compile underwriting status reports. Provide or receive half cost medicals from other insurers.

Areas of responsibility may include but not limited to

• Compile a report for brokers from SFE and Compass, send medicals requirements requests to brokers/SC in order to be completed by member for underwriting members’ over the acceptable limit.
• Link the received completed medicals to the system and allocate to the underwriters for a decision.
• Send completed medicals to another insurer on request and/or request completed medicals from other insurer to underwrite member.
• Load members on the system to the smart service team for a nurse to complete required medical documents.
• Booking of appointments for the completion of medical requirements for Underwriting purposes
• Servicing of stakeholders’ needs by providing feedback and resolving booking queries.
• Liaising with other Business Units to ensure that clients are treated fairly and also ensuring that organization is compliant with the rules and laws set.
• Access completed medicals from the Smart Service System if not already on SFE.
• Link the received completed medicals to the system and allocate to the underwriters for a decision.
• Verify the membership on Paradigm, that covers are aligned on SFE and Compass.  Ensure member is on SFE.
• Ensure all documents submitted are correct and completed in full.  Where documents are missing, source the documents from Meditech or other Pathologists.
• Once all documentation is attached on SFE, complete audit for Member and move it to the Underwriters.
• Investigate reasons for anomalies on any underwriting admin process and troubleshoot. Look out for members that need decisions to be re-apply
• Compile a report for brokers from SFE and Compass, send medicals requirements requests to brokers/SC in order to be completed by member for underwriting members’ over the acceptable limit.
• Link the received completed medicals to the system and allocate to the underwriters for a decision.
• Send completed medicals to another insurer on request and/or request completed medicals from other insurer to underwrite member.
• Load members on the system to the smart service team for a nurse to complete required medical documents.
• Access completed medicals from the Smart Service System if not already on SFE.
• Link the received completed medicals to the system and allocate to the underwriters for a decision.
• Verify the membership on Paradigm, that covers are aligned on SFE and Compass.  Ensure member is on SFE.
• Ensure all documents submitted are correct and completed in full.  Where documents are missing, source the documents from Meditech or other Pathologists.
• Once all documentation is attached on SFE, complete audit for Member and move it to the Underwriters.
• Investigate reasons for anomalies on any underwriting admin process and troubleshoot. Look out for members that need decisions to be re-apply

Personal Attributes and Skills     

The successful candidate must demonstrate the following competencies:

• Self-starter with a high attention to detail and be able to multi-task
• Good at follow through
• Exceptional ability to communicate written and orally
• Problem solving and solution focused
• Analytical – interpretation
• Building relationships
• Coping with pressure (deadlines)
• Time-Management and Organizational Skills
• Must be team orientated, willing to assist other team members in the office
• Compassion: will be working with people who are sometimes in dire situations or going through difficult transitions. Must be compassionate to their situation and working with them in a positive way
• Outstanding customer service skills

Education and Experience

• Matric - essential 
• Microsoft Office skills, i.e. Outlook, Excel and Word are mandatory. Underwriting Administration background
• Minimum 1 year’s working experience in Group Risk Underwriting. Knowledge of Group Risk Industry benefit payments