เงื่อนไขการค้นหา

ประสบการณ์:

5 ปีขึ้นไป

ทักษะ:

Product Development, Internal Audit, Finance, English

ประเภทงาน:

งานประจำ

• Main Interfaces: Underwriting and Product Development, Claims Department, Operations and Business Integration, Line of Business Team (Direct Marketing, Travel, Brokerage).
• Partner, Broker, Agent, Direct Customer.
• Major Duties and Responsibilities.
• Underwriting Management.
• Underwrite New Business case of A&H and approve cases within assigned authority according to the underwriting standard for products such as Travel, Personal Accident, Hospitalization and Critical Illness.
• Technical pricing using pre-developed pricing tool or ground pricing.
• Oversee and direct submissions to Head of Underwriting or Regional / Global Underwriting for review beyond delegated underwriting authority.
• Ensure all business is underwritten within established Internal Audit Guidelines.
• Establish, implement and communicate country underwriting policies and procedures, response timetables and quality standards.
• Proactively prepare for account renewal review & sponsor campaigns with marketing staffs. Work with sales staff to identify and produce new products and/or packages to meet current or potential market needs and to generate underwriting profits. Ensure approvals from appropriate regional and regulatory authorities are obtained timely. Initiate account and product reviews with sales staff.
• Loss Control (appropriate use of the available services).
• Quality Control.
• Underwriting Plan/Monitoring Control.
• Pricing Management (using the Burning Cost Model as appropriate).
• Catastrophe Management.
• Portfolio Pricing.
• Portfolio Monitoring and Control.
• Train, mentor and guide Underwriters to be technically proficient in underwriting and product development. Initiate and lead in reviewing underwriting proficiency and customer focus efficiency of Underwriters and Underwriting team.
• Liaise with other functional groups to ensure appropriate and timely flow of technical information into and out of the Underwriting Unit: e.g., Finance and Claims.
• Support the implementation and maintenance of new and existing products.
• Rating and Form development and approval.
• Review Regulatory Rate Filing and approval management.
• U/W Coordination with marketing.
• Skills.
• Actuarial background / experience with advanced excel skill is required.
• Able to construct P&L.
• Comfortable and effective in verbal and written communications in English.
• High level of interpersonal and negotiation skills at multiple levels.
• Experience working within a profit center environment with a mid-size to large multinational company.
• Able to team lead and provide excellent leadership to the department to drive results.
• Ability to work in a fast-paced growth environment and multi-task, also under pressure.
• Experience.
• Minimum 5 years of experience in A&H underwriting.
• Minimum 7 years of experience in insurance industry.
• Bachelor s Degree in insurance or related fields (master s degree preferred).
• Solid proficiency of underwriting and insurance industry theories and practices.

ทักษะ:

Negotiation

ประเภทงาน:

งานประจำ

• Inspect damaged vehicles at garages, accident sites, or customer premises.
• Assess the extent of damage and estimate repair costs.
• Verify the validity of claims and check for possible fraud.
• Liaise with repairers, policyholders, and other stakeholders.
• Prepare detailed survey and assessment reports.
• Advise claims handlers and underwriters on claim settlements.
• Negotiate with garages and customers regarding repair methods and costs.
• Ensure compliance with company policies, industry standards, and regulatory requirements.
• Maintain accurate records and documentation for each claim.
• Provide technical guidance to claims teams as required.
• Diploma or Bachelor s degree with related experience in insurance or surveyor.
• Prior experience in motor claims assessment, vehicle repair, or insurance is preferred.
• Strong knowledge of motor vehicle construction, repair methods, and insurance processes.
• Analytical and investigative skills.
• Good communication and negotiation skills.
• Attention to detail and integrity.
• Ability to work independently and manage multiple cases.

ประเภทงาน:

งานประจำ

• Review patient admissions and length of stay to ensure medical necessity.
• Conduct concurrent and on-site case reviews.
• Escalate complex cases to physicians when criteria are not met.
• Identify quality issues and flag them to medical leadership.
• Prepare monthly reports and insights for hospital partners.
• Collect only pertinent clinical information and document all UM review information using the appropriate software system.
• Hospital Network Medical AnalysisWork with hospital partners to resolve inappropriate utilization.
• Conduct on-site reviews and service evaluations.
• Investigate and report misuse or abnormal medical practices.
• Medical Services OperationsAppoint and manage panel physicians for pre-insurance checkups.
• Coordinate mobile medical services and scheduling.
• Manage medical room operations (staff, equipment, supplies).
• Support customer medical requests and reports.
• Handle medical document issues with underwriting team.
• Prepare monthly communications (e.g., medical newsletter, updates).
• Support marketing campaigns and customer programs with hospital partners.
• Prepare report and payment for physician fee such as ECG, CxR, Orasure, doctor fee, Bria Lob, PRO lab and medical expense to relevant party every month.
• Coordinate with underwriter by receiving the medical examination documents from underwriter such as incorrect or incomplete to review and provide feedback to physician and nurse, and provide the formal letter to physician and nurse.
• Additional ResponsibilitiesSupport projects (e.g., hospital awards, service improvements).
• Handle customer inquiries and complaints professionally.
• What You Need (Must-Have)Bachelor's degree in nursing science or related field.
• Utilization review / case management / medical cost control.
• Hospital-based nursing (ICU, CCU, or medical ward).
• Strong understanding of clinical decision-making and patient care.
• Experience in claim assessor roles from insurance or healthcare industry.
• Nice to HaveKnowledge of utilization management tools (e.g., InterQual).
• Understanding of medical claims, ICD-10, or insurance practices.
• Familiarity with healthcare analytics tools.
• Good understanding of healthcare regulations.
• Self-driven/management and strongly in result oriented (KPI).
• Collaborative and communication skills.
• Any AI-future skills e.g., ChatGPT, or CoPilot365, will be advantage.
• Why Join UsWork at the intersection of healthcare and insurance.
• Collaborate with leading hospitals and medical professionals.
• Make a real impact on patient care quality and cost management.
• Grow your career in a dynamic healthcare environment.
• Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future - for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural Internal background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
• Join us. Let's care for tomorrow.