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Annexure I : ABG Job Description Template

Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation
of JD

Business Health Insurance

Unit Aditya Birla Health Insurance Company Ltd

Location Goregaon , Mumbai

Reports to:
Poornata Position Number
Poornata Position
of the job
Number
Reports to:
Poornata Position Title of
Poornata Position
the job
Title
Reports to:
Function Underwriting Underwriting
Function
Reports to:
Department Underwriting Underwriting
Department
Designation of the OUW5 Senior
Designation of the OUW7 Underwriter -
Manager Underwriter -
Employee s Retail
Retail
Date of writing/updation of
17/1/2018
JD

HayGroup Job Description Template 2011

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Annexure I : ABG Job Description Template

1) Job Purpose: Write the purpose for which the job exists (in 2-3 lines)
The role is required to carry out the operational tasks for the assigned retail underwriting policies by acting prudently in all
aspects while accepting risk.

2) Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better
understanding of the scope and scale of the job.

Retail Health Indemnity, Personal Accident, Critical illness,

Products Underwritten
hospital cash. Scope would include Retail Travel products,
Loan-base products for Banca partners.
Underwriting Authority Upto INR 3 Crore
UW decision TAT UW decision to be given in 2 working days & to reduce
TAT to 1 working day till next FY
Adherence to guidelines Regular study of UW guidelines & ensure 99% accuracy in
decision making

3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and
external) to the jobholder in the context of the Business/Unit/Function/Department/Section

About the Health Insurance Industry –

While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in
the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a
strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis
which is to the tune of roughly 10,000 Crs sees close to 85 % of the business renewing with the existing service
provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market
to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the
opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here
therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater
each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into
the pockets of channel partners across the country to harness on their captive business and explore new
opportunities with them.

Market Opportunities – With the advent of medical advancements, lifestyle changes, change in Indian socio-
economic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this
diverse clientele. Increasingly Indian customers have started considering health insurance partners as extensions of
health advisers. In this scenario it becomes extremely important to understand their psyche and then provide
tailored solutions with wellness benefits which would help them meet their end objectives and bring in profitable
revenue source for the company.

About the Aditya Birla Health Insurance –

Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between
Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in
October 2016.
ABHICL has entered the competitive health insurance market with an aim to expand the category to wider customer
segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6th entrant in a

HayGroup Job Description Template 2011

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Annexure I : ABG Job Description Template

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3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and
external) to the jobholder in the context of the Business/Unit/Function/Department/Section

category with well-established players, ABHICL is creating differentiation and equity for itself though the unique
business proposition of “Health Insurance for All”, a one of a kind proposition in India at the moment. This is a
philosophy that is being built through every single consumer touch point and into every single backend process of
the company to ensure a customer’s experience of our proposition is continuous and seamless.
ABHI’s unique offering to market includes proposition includes -

 A Comprehensive Incentivized Wellness Program that will attract the young and health conscious and will
motivate, guide and reward them to stay healthy
 A Chronic Care Management Program to cater to the unmet needs of a growing Indian population of those
suffering from chronic lifestyle conditions like Diabetes, Asthma, High Cholesterol and Hypertension from
Day 1
 ABHICL serves as an enabler and influencer of health and healthcare choices that customers make, in
addition to being a payer of healthcare expenses. Thus, ABHICL would act like a much needed catalyst to
grow the prevalent health insurance landscape in India through product innovations and a wider choice of
consumer relevant products.
 ABHICL’s vision has always been digital. The company has been successful in adopting paper-less
approach right from identifying to on-boarding to delivering seamless experience of its customers &
employees.

Key Challenges for the role –

 With changing lifestyle habits, following a set pattern for retail underwriting is becoming difficult. Hence each
case may need to be reviewed individually as similar demographics & geographies no longer have similar
medical history & background.
 Ensure seamlessness across different functions on which the team’s deliverables are dependent.
 Handling Customer grievance in view of miss-selling
 Technical System dependency in achieving the targeted TAT

4) Key Result Areas: Write the key results expected from the job and the supporting actions for each of these key
result areas (For a majority of jobs typically there could be 4- 7 key result areas)
Key Result Areas Supporting Actions
 Assisting in developing the underwriting guidelines
for each product to achieve profitability.
Ensure adherence to UW guidelines  Aiding in carrying out regular market mapping to
gain maximum market share along with maintaining
profitability.
 Underwrite transactions authority limits within
defined TATs
Quick and accurate underwriting decision ,maintaining high
 Recommend decisions for transactions beyond
quality service, standards, meeting business targets
authority limits
 Appropriate & timely resolution of escalations
 System Requirements to be understood thoroughly
System UAT  Assisting in carrying out UAT to ensure the correct
delivery of requirements

HayGroup Job Description Template 2011

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Annexure I : ABG Job Description Template

5) Job Purpose of Direct Reports: Describe the job purpose of the direct report/s to the job (in 2-3 lines for each
report)
Nil

6) Relationships: Describe the nature and purpose of most important contacts or relationship (except superior/team
members) with individuals, departments, organizations inside and outside of the organization, that job is required to interact
with in order to deliver the job objectives
Relationship Type Frequency Nature
Internal
Sales Need Based Query Resolution
IT System enhancements/issues.
Claims Clarifications / queries
Internal Audit Team Internal / External Audit
Provider Management Team Queries resolution/General enquiry
Product Team / Actuary Team New product development/launch related
External
Policyholders Need based Conveying decisions/ query resolution

Vendors Recruitment of outsourced employees.

External auditors Sending audit reports

Reinsurers For facultative cases completion, Training & Audit etc

7) Organizational Relationships: Provide the structure for a level above and below the position for which this job
description is written. Use position titles in the structured and indicate all the reports of the position.

SIGN-OFF: Provide the name of the Manager and the jobholder. Signature needed for the hard copy of the JD. Hard copy to
be maintained in the organizational record.
Job Holder Reports to – Manager

Name
Signature
(needed for
the hard copy)

HayGroup Job Description Template 2011