Reported successfully

This position will be responsible for risk assessment and providing prompt and fair claims review while following the policies and guidelines of Daiichi Life Insurance Myanmar (DLMM). 

Underwriting responsibilities

• To conduct risk assessments on applications for insurance, as well as establishing the appropriate coverage and premium to be charged, while keeping the company financially sound.
• To communicate with related stakeholders (including customers, distribution/sales team, hospitals, co-workers, supervisors and other stakeholders as required) via email, phone and other methods.
• To enquire and follow-up with accredited/contracted hospitals on cases with medical underwriting in conducting the various medical examinations and tests and the interpretation of certain medical reports.
• To provide information (including data and statistics) regarding the local health care industry, which is needed for product development, to relevant company personnel.     
• To help uphold DLMM’s firm commitment to professional excellence by applying best practices when performing underwriting on our customers, and to give fair risk assessment results.
• To attend Underwriting and Claims Committee meetings and any other meetings internally or externally, as needed.
• To give presentations or other training related to underwriting to colleagues (e.g., distribution/sales, officers from other divisions/departments, etc.)
• To report the status of applications/policies on a weekly or monthly basis, as needed.
• To perform monthly quality checking or audit of policies that went through Jet Underwriting.
• To have a mindset of Kaizen - continuous improvement, and willing to sit for exams such as LOMA, ALU, ICA, etc.
• To perform additional duties as may be assigned from time to time.

Claims responsibilities

• To perform underwriting evaluations for post-issuance changes, such as Travelling Abroad, Reinstatements, and Group Business New Entrants/Renewal cases.
• To carry out claims assessments for all products sold by DLMM and daily communication/reporting with Third Party Administrator for Health insurance claims.
• To fully understand the customers’ requirements and align with respective Operations and Distribution teams for Underwriting, Reinstatements and Claims requests.
• To ensure timely response and satisfactory resolution of matters requiring support of Claims function, particularly from Operations, Distribution/Sales, Hospitals, or other stakeholders.
• To continually improve customer experience by gathering feedback from partners and customers and gauge their satisfaction level.  Strive for ‘Omotenashi’ service standards.
• To understand the company’s Policy Provisions and products and be able to explain to customers.
• To perform UAT for new products, functions and system bugs.
• To conduct AML checks and when the result is positive, report to the manager for further process.
• To have a mindset of Kaizen - continuous improvement, and willing to sit for exams such as LOMA, ALU, ICA, etc.
• To perform additional duties as may be assigned from time to time.

• Medical-related degree (Nursing, Medical Technology, Pharmacy, etc.)
• Minimum 2 years of clinical experience in medical science is preferred.
• Work experience as an Underwriter and/or Claims Adjudicator in Life and/or Health Insurance is preferred.
• Certifications in LOMA and ALU are an advantage.
• Excellent communication skills (oral and written) in both English and Myanmar.
• Experience delivering client-focused solutions with a customer-centric mindset.
• A sound knowledge of the local healthcare industry, including the availability of the various healthcare facilities and services, in both public as well as private healthcare sectors.
• Strong in people skills (interpersonal relationships), communication skills, pro-business.
• Fast learner and able to work with cross functional teams in a dynamic work environment.
• Advanced knowledge for Microsoft tools, including Outlook, MS Teams, Excels, Power Point and other related systems for daily reporting and case processing.