Underwriting Auditor
About the role
The Underwriting Quality Auditor ensures the accuracy, consistency, and compliance of underwriting decisions by conducting structured case audits, identifying quality gaps, and driving continuous improvement across the underwriting function.
Duties and Responsibilities:
Audit underwriting cases to evaluate risk decisions, evidence utilization, and documentation quality against carrier guidelines and SOPs
Track and report quality metrics — error rates, decision accuracy, and SLA compliance
Provide structured feedback and support coaching interventions for underwriters
Identify trends in errors and evidence quality; escalate systemic issues to leadership
Collaborate with training team on identifying training needs
Contribute to process improvement, SOP enhancement, and automation initiative
Qualifications and Skills:
Graduate/Postgraduate in Medicine, or related field (M Pharma / Nursing/MBBS preferred)
5 or more years in Life/Health Insurance Underwriting with exposure to managing Underwriting quality or audit functions
Strong knowledge of APS/EHR/Lab Piq interpretation and US based underwriting guidelines
High attention to detail and analytical thinking
Strong communication for feedback and reporting
Proficiency in MS Excel for trend analysis and scorecards
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