Lead Specialist - Medical Underwriting
Core
Manage complex and high-risk medical underwriting assessments, appeals, and escalations while supporting underwriting operations across digital channels.
Role type
Senior IC medical underwriter
Builds
Medical insurance policies and risk assessments
Domain
Insurance / Healthcare
Required skills
Medical underwriting expertise, risk assessment, complex case adjudication, appeals management, technical guidance, AI tool validation, SOP adherence
Preferred skills
None stated
Technologies
AI-enabled underwriting tools, digital channels, Virtual Appointments, Live Chat
Responsibilities
Process and underwrite complex high-risk medical cases (+150% extra mortality), act as counter-signatory and quality gatekeeper, provide technical feedback and coaching to specialists, support guideline refinement and AI logic development, handle appeals and complaint-related assessments
Seniority
Senior, hands-on IC