Life Insurance Manager
Tawuniya
Total years of experience :19 years, 11 Months
heading the Life Insurance Dept.
member of SAMA steering Life insurance Committee
managing a portfolio of 45 mil
Product Development
Responsible of increasing the topline and bottom line Profit Oriented
• Developed and launched the first micro insurance product in KSA. Product allows consumers and corporates to purchase life coverage for short durations and variable coverage from the convenience for their teleco account.
• Developed and launched the first medical-life integrated product in KSA. The descending limit product pays a sum insured as a function of the medical expenses making life coverage more affordable. Sold 6m+ of premium the first year of launch.
• Executed a plan to turn around the Life business unit. ..
• Restructured department
• New system full cycle implementation project
• Increase top line by 43% since joined, bottom-line profitability.
• Managing reinsurance activities, treaties, and relations.
• Setting up regulations with the SAMA P&S Committee and SAMA Actuarial team.
• Managing the Quotation Studies - According to Claims History and Benefits
• Tailor-made Policies for Clients
• Statistical Reports of Policy performance
• Technical analysis of Both Medical And Non-Medical Pricing and Terms
• SLA preparation and Finalizing Agreements with Insurance Companies
• Ensures that all KPIs (Key Performance Indicators) meet and exceed the minimum standards
• Responsible of leading a team of 3 regional offices including team leaders and 12 underwriters
• Maintain the performance of underwriting team
• Responsible for measuring underwriting performance of the unit
• Setting service level agreements SLA
• Responsible for providing reports to senior management when requested
• Manage investigations of fraud cases, Responsible for ensuring compliance with rules and regulations, both internal and external
• Placing and applying plans to improve underwriting dept. and enhance The Portfolio.
• Negotiating treaty with the reinsures
• Establishing underwriting Methods, Manuals
• Setting new health care system with the IT solution to programmers “ Eskadenia - Jordan”
• Analyzing daily, weekly and monthly reports and reporting performance to the board
• Preparing Quotations & Renewals with addition to all Policy Admin Workflow.
• Audit medical quotations and clients requests before submitting to clients.
• Establish strong relations with brokers and clients.
• Construct renewal drafts of insurance policies.
• Establish the loss ratio of existing insurance policy.
• Manage investigations.
• Coordinate and manage the day-to-day operation of medical insurance policy logistics
• Identifying, creating and implementing effective performance management tools and CCHI rules
• Establishing underwriting Methods, Manuals and Pricing System
Quotations:
• Preparing Quotations for Group Medical Insurance Programs.
• Recruit business & maintain relations
• Consult customers on tailor-made policies
• Coordinates with the sales team to gain prospective clients. And close business deals.
• Preparing summary of newly issued policy terms in respect of Prices, rates, Age Breakdown, Admin Loading/Commission settlements, and classifications and Policy Wording.
• Prepares Weekly / Monthly Reports
• Placing Firm Orders & Building the Policy Wording.
Renewals:
• Calculating Loss Ratio along with studying the performance of Policies
• Claims Analysis and Risk Management
• Negotiates Renewal Terms and Letters of expiring Policies
• Preparing summary of newly issued policy terms in respect of Prices, rates, Age Breakdown, Admin Loading/Commission settlements, and classifications and Policy Wording.
• Regional Supervision of Renewal and Quotations from Other Branches in the Kingdom.
• Train newly hired Underwriters & ensure their productivity
• Implement strategies & follow-up
• Joined the Management Head office in Amman as Claims Adjudicator . Gain experience of analyzing the medical claims for the group comprehensive program, preparing financial analysis’s calculating the payments within my authority (50.00 JOD/Claim)
• Dealing with Alico network doctors complains
• Auditing claims for new employees (trainees)
• Self-studying in the Alico LOMA (life office management association) books by the American group int. in the USA.
• Can handle long term agreements with the medical network & policy holders (as policy Administration)
• Responsible for cheque preparation to the accounting dept. so they can issue the cheques
• Mailing of cheques & settlement Letters for the service providers.
• Communication skills with Alico`s Branches World Wide
• Preparation of Quotations. The products of Medical equipment companies, Research Medical and Coordinate with Sales team for submission of quotations.( Pricing the Quotations )
• Order entries processing after receipt of Customers order. Coordinate with EDP, Finance Department for processing Invoice.
• Verify/monitor stock situation of moving products.
• Prepare tenders and arrange samples for tenders.
• Coordinate with Purchasing Department to place order with manufacturer and follow-up with vendors regarding shipment of products.
• Transferring stock to Branch offices upon receipt of shipment.
• Filing all kinds of documents incoming/outgoing and other routine works.
• Coordinate with warehouse for delivery of products to customer and making appointment with customers for delivery.
• Solving Pending problems with some customers (Documents, complains)
• Recruit business & maintain relations
• Train sales team & ensure their productivity on new equipment’s
• Implement Marketing strategies & follow-up
Health Services Administration - Faculty of Medicine