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Job Description :
The position is responsible for auto appraisal of Traditional / VUL applications whose actual mortality rates, do not exceed the standard rates assumed when the premium rates for a particular product were calculated based on defined speedy issue guidelines,.
It is accountable for accuracy of the set-up of client records in Appentry / Ingenium systems. It is also responsible for ensuring completeness and accuracy of documents in policy contracts delivered to policyholders.
Current Approval Authority Limit :
Applied for With Sun Life : Ps 1.5 Million, or US Dollar Equivalent
Total All Companies : Ps 7 Million, or US Dollar Equivalent
Reviews and performs Automated Appraisal of New Business Applications, mandatory requirements, AMLA requirements and Alteration of Application regarding changes / amendments in the Application within defined approval authority.
Reviews and evaluates New Business requirements such as AMLA requirements, Alteration of Application, new proposal, new application for underwriting cases and handles adjustment of records in Ingenium.
Assesses the degree of occupational and foreign residence risks represented by the proposed insured and the owner. cides whether to approve standard, reduce coverage or change plan, reduce coverage, grant or disapprove supplemental riders, or offer appropriate extra premium within approval authority limit.
Evaluates Non medical history declaration of proposed insured and owner which are not covered by Speedy Issue Guidelines and recommends appropriate underwriting action whether to approve or reject the case (e.
g. surgery of gallstones, recovered, etc. ).
Orders requirements for incomplete answers in the Application and evaluates the risk based on the answers given by the proposed insured or owner using our Speedy Issue Guidelines.
Orders age / amount requirements after Automated Appraisal together with the missing answers to the questions in the Application Form and refers them to the underwriter when received.
Evaluates application and renders a decision outside Auto Appraisal / Speedy Issue Guidelines for the following
approves application if owner is grandparent
approves application under corporate accounts if with existing
approves MRI applications submitted by selected Advisor
approves applications applying for HIB,FB,FMB,CIB and APDB riders
as long as applicant / owner is immediate relative of the
Reports MIB impairment codes for substandard and not as applied for based on occupation and place of work.
Reviews and evaluates KYC requirements under the Anti-Money Laundering Act, for non-Filipino and Corporate applicants within approval authority limit.
Handles adjustment of records in Ingenium of underwriting cases to reflect changes requested after Auto Appraisal
Reviews computer records against data in the Application; analyzes correct premium coverage applied in policy form, proposal and payment in the applications;
sends notification to agent / SSA for overpayment / short remittance.; computes and collects additional payment / charge the corresponding agent if essential based on the amount of per product classification if any discrepancy;
Investigates clients with multiple client numbers. and coordinates with Client Management for consolidation;
Responds to New Business (TRAD / VUL products) related to walk-in client’s and agents queries as appropriate; answers (phone / e-mails / SMS) in a timely, accurate and courteous manner;
investigates complaints received from client / agent and suggests alternative solution to Manager;
Reviews printed copy of policy contracts of jumbo cases ; verifies details against underwriting decision if data were correctly encoded;
calculates manually for any discrepancy on the decision of underwriter vs policy contracts details; checks the information of the policy;
ensures that the premiums are correct and contract pages are complete.
Processes refunds of overpayments, bounced check, Not taken up(NTU), Not proceeded with (NPW); handles refund of initial premium and charge agent for NPW / NTU fees;
Prepares letters using LWS, manual letters, and bank certifications.
Skills and Knowledge Requirement :
College Graduate of 4-year course with above scholastic records.
At least 3 years experience as Speedy Approver.
Highly trainable fresh graduates can be considered.
Role-Specific Competencies :
App entry, INGENIUM, IUM, WMS, CAS, AGIS,PRS, LWS & MIB systems : Proficient
Forms, policy contracts, product features, Sales Hierarchy, NB processing flow and their relationship with other departments : Proficient
Typing Skills at least 40 wpm : Proficient
BR Review, UAT, Project Management : Proficient
Speedy Issue Guidelines Concepts : Proficient
Medical Reports, Blood Tests, Ecg, TM, X-rays, Blood Tests And Other Tests, Their Physical Appearance and Codes in the Different NB Systems : Basic
Signature Verification : Basic
Nonmedical Aspects of Underwriting (Occupation, Foreign Residence, Lifestyle, etc.) : Basic
Legal Aspects of Underwriting : Basic
Presentation Skills : Basic
Job Category :
Customer Service / Operations