Related skills
quality assurance audit ehr sop underwriting๐ Description
- Audit underwriting cases for risk decisions, evidence, and docs against SOPs.
- Track and report quality metrics: error rates, decisions, SLA compliance.
- Provide structured feedback and coaching for underwriters.
- Identify trends in errors and evidence quality; escalate systemic issues to leadership.
- Collaborate with training on identifying training needs.
- Contribute to process improvement, SOP enhancements, and automation initiatives.
๐ฏ Requirements
- Graduate/Postgraduate in Medicine, or related field (M Pharma / Nursing/MBBS preferred)
- 5+ years in Life/Health Insurance Underwriting with quality/audit exposure
- Strong knowledge of APS, EHR, and Lab PIQ interpretation and US underwriting guidelines
- High attention to detail and analytical thinking
- Strong communication for feedback and reporting
- MS Excel for trend analysis and scorecards
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