Medical Expert with Strong Analytical Skills
hace 5 días
We are seeking a highly qualified Medical Expert to join our dynamic Health team at Allianz.
About the RoleAs a Medical Expert, you will play a crucial role in product development, defining and managing underwriting policy (establishing criteria, managing exceptions, assessing pre-existence) providing medical support for product design, overseeing third-party operations, and handling all medical topics within the health insurance domain.
Key Responsibilities:- Collaborate with health product managers in market analysis, product development, and launch of new products.
- Provide medical criteria for product coverages (e.g., medical techniques and services, medical coverages update, medical cost analysis).
- Collaborate with the Technical area for cost and pricing analysis.
- Medical assessment for Underwriting: Define standard underwriting guidelines and establish underwriting criteria based on medical assessments.
- Responsible for analyzing and managing exceptions and pre-existing conditions to standard underwriting guidelines.
- Collaborate with underwriting teams to ensure accurate risk evaluation and determine impact on coverage.
- Provide recommendations for complex or atypical cases.
- Third Party Providers' Management: Oversee and manage day-to-day health-related services for policyholders.
- Collaborate with healthcare providers to ensure effective operations.
- Collaborate with Operations area for providers management & cost analysis and control.
- Medical Incidence Handling: Investigate and assess complex medical incidences reported by policyholders.
- Provide expert guidance on the resolution of medical issues.
- Collaboration and Communication: Collaborate with cross-functional teams including underwriting, claims, product development, and customer & marketing.
To be successful in this role, you will need to have a medical degree from an accredited institution, at least 5 years of experience in medical underwriting or a related field, strong understanding of insurance industry practices and regulations, excellent analytical and decision-making skills, ability to communicate complex medical concepts to non-medical stakeholders, deep medical expertise, ideally in an insurance company or similar, high level of energy, analytical thinking and problem-solving, excellent communication and interpersonal skills, attention to detail and accuracy, and ability to work collaboratively in a team environment.
About UsAllianz offers a hybrid working model, offices that adapt to your needs, flexible hours so that you can have a good balance between your personal and work life, specific training in your field of activity, and a range of employee benefits including multiple discounts in sports centers, financial compensation for lunch and teleworking expenses, and special prices in our insurance products for you and your family. We also offer additional benefits for employees with disabilities and/or those who have an immediate family member with a disability, including a bonus of €1,500 in your first paycheck.
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