Job Description
Job Description
The incumbent will be responsible for managing the end-to-end process of Group Health Insurance policy issuance and endorsement operations, ensuring accurate premium computation, underwriting compliance, and timely service delivery. The role involves handling complete policy issuance activities including validation of underwriting approval, sum insured structure, age band pricing, family definitions, negotiated rates, loadings, discounts, and applicable taxes. The candidate will ensure that policy schedules, certificates of insurance and related documentation are generated accurately and dispatched within defined turnaround times. Close coordination with underwriting, sales, finance, IT, TPA teams, brokers, corporate HR representatives, bancassurance partners, and agency channels is an integral part of the role.
The position requires managing all types of endorsements such as member additions, deletions, sum insured corrections, member detail corrections, and refund or adjustment cases. The candidate must perform pro-rata premium calculations for additions and deletions, validate financial impact, apply underwriting loadings where applicable, and ensure proper approval workflow for refund endorsements. Every endorsement request must be verified against policy terms and underwriting guidelines before processing. The role demands strong financial accuracy to avoid revenue leakage and ensure compliance with approved quotation terms.
Data validation and quality control form a critical part of the responsibilities. The candidate will perform detailed data sanity checks including validation of date of birth, age calculation, relationship mapping, duplicate member identification, sum insured verification, gender validation, and premium reconciliation. Maintaining error-free processing standards and ensuring audit readiness through proper documentation and system updates are key expectations.
The role also involves active stakeholder management. The incumbent will regularly interact with brokers, corporate HR teams, bancassurance and agency partners to clarify policy terms, resolve premium disputes, manage escalations, and provide service updates. Internally, coordination with underwriting, sales, operations, claims, and finance teams is necessary to ensure smooth workflow and adherence to service level agreements.
The candidate will be responsible for monitoring turnaround times for policy issuance and endorsement processing, maintaining daily trackers, managing pending cases, and ensuring adherence to defined service standards. Preparation of MIS reports including issuance volume, endorsement volume, premium variance, productivity reports, and error ratio tracking is also part of the role.
