Roy D Email & Phone Number

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

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

Professional Designation, Registered Health Underwriter (Rhu®), Excellent

3 major courses: Group Benefits - Individual Health Insurance - Advanced Topics in Group Benefits

Professional Designation, Professional, Academy For Healthcare Management (Pahm®), Excellent

Bachelor'S Degree, Management And Commercial Sciences, Audit

Baccalaureate, Sociology And Economics