Roy D

Roy D Email and Phone Number

Insurance
Roy D's Location
Norwood, Massachusetts, United States, United States
About Roy D

Agile and qualified product development and underwriting proficient professional with extensive knowledge of health insurance products, underwriting principles and product acumen. I am a passionate, competent, and highly skilled health insurance professional with over a decade of experience with accreditation from reputable institutions.Throughout my career, I have developed a reputation for delivering innovative solutions that increase revenue, improve customer satisfaction, and drive business growth.My skills in strategic planning, project management, and stakeholder engagement allow me to establish productive relationships with clients and internal teams, leading to successful outcomes. Whether managing complex accounts or developing new products, I am committed to delivering exceptional results and exceeding expectations.I specialize in operations and implementation of insurance programs, underwriting and coverages. I also am adept at outlining marketing scopes and research of health insurance products. I easily generate strong client relationships, possesses excellent communication skills, collaborate well with teams, I succeed working proactively in complex and busy environments.I’m ready for another stage in my career.• Product Development: Proven ability to lead the product development process, from ideation to launch, for healthcare benefits and TPA fields• Market Intelligence Analysis: Skilled in conducting market studies and analyses to determine and track products’ market performance in the healthcare benefits and TPA fields• Account Management: Strong experience building and maintaining quality client relationships, evaluating medical applications, and managing policy provisions and scope of benefits in accordance with underwriting guidelines and manual procedures• Risk Management: Adept at managing the installation process of new risk carriers, coverages, and product variations• Contract Review and Response: Demonstrated expertise in reviewing contracts agreements and responding to RFP biddings for healthcare benefits and TPA fields• Proficient in Microsoft Office, Microsoft Windows & macOS Operating Systems• Advanced knowledge in BI Tools/Deep Dive/Tableau, IBM Cognos Power Play, Discoverer, Complex and expert system

Roy D's Current Company Details

Insurance
Roy D Work Experience Details
  • Globemed Group
    Product Development And Market Intelligence Analyst
    Globemed Group Jan 2014 - Oct 2022
    As someone who is trilingual, I translated insurance policies and connected with various insurance backgrounds. Established and composed all products related documents, such as policy wording, SOB, SBC, policy schedules. Led various phases of product development process including design, planning, development, implementation, testing and launching over fifty products. Increased revenue by 12 to 20% on an annual basis and achieved 90% selling existing products growing the overall book of business.• Deployed and revised tariffs simulators pricing tool to clients' insurance quotations• Managed the installation process of new risk carriers, coverages, and product variations with key internal/external stakeholders• Priced new healthcare benefits and formulated underwriting conditions with actuaries/reinsurers• Studied large Groups quotations (complex benefits) and Tender Syndicates• Optimized actuarial indications for in-force and renewal policies• Contributed to 50% of the growth of existing products by conducting effective market studies and analysis• Advanced reviews and readings to stay up to date with competition• Managed and drafted updated Underwriting Manuals/Guidelines for health insurance products and verified their implementation parameters on the system • Generated monthly production and claims reports and alerted clients about any abnormal trends• Extracted underwriting audit deviation reports (e.g. enrollment, eligibility, backdating)• Drove meetings with insurers/brokers/agents• Created presentations and business plans and study findings• Trained and oriented new clients/employees/brokers/agents on understanding systems and plan designs• Responded to products and underwriting inquiries from clients and staffs• Reviewed management contracts agreements and responded to RFP biddings processes• Participated in various projects of the company's operations
  • Globemed Group
    Senior Account Executive / Senior Underwriter
    Globemed Group Jan 2010 - Dec 2013
    Developed quality relationships with various clients' risk carriers, i.e. insurance companies, mutual funds and self-funded schemes. Managed large and numerous accounts and groups including the internal security forces. Collaborated with various department heads and process owners to deliver the expected level of services such as control and processing, network, patient services, and medical departments. Prepared analytical reports to analyze existing business portfolio and developed renewal business for individual/group policies.• Handled clients’ demands, queries, and issues related to underwriting cases, production, claims, and technical system problems, such as issuing health policies, group business quotations, portfolio, loss ratio, jumbo claims, and saving reports• Managed high call volume of 30 calls per day and communicated directly with the risk carriers in resolving technical issues and support• Ensured policy provisions, benefits scope, and underwriting rules on the system were in line with underwriting guidelines/manuals• Evaluated medical applications for new and renewed businesses that required medical opinion/scoring by the Medical Officer• Guaranteed coverage throughout all operating processes• Visited risk carriers regularly, created visit reports/SLMs, and followed up on resolutions taken• Assisted the Actuarial department/Reinsurers in preparing special groups’ quotations by setting up base rates and rating methodology to increase underwriting profit• Prepared analytical reports and renewal businesses (individual and group policies)• Conducted system training sessions to promote portals tools to clients• Conducted system quality assurance
  • Chedid Capital
    Credit Controller
    Chedid Capital Sep 2009 - Dec 2009
  • Emirates
    Senior Airport Services
    Emirates Jan 2009 - Aug 2009

Roy D Education Details

Frequently Asked Questions about Roy D

What is Roy D's role at the current company?

Roy D's current role is Insurance.

What schools did Roy D attend?

Roy D attended The American College Of Financial Services, America's Health Insurance Plans (Ahip), Holy Spirit University Of Kaslik - Usek, Collège Mariste Champville.

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