Senior Operations Officer, Health Insurance
2 months ago
Munich Re is the world’s largest reinsurer and a leading provider of reinsurance solutions in Asia. The Regional Centre in Singapore has grown and expanded substantially over the past years with more than 300 employees now. Southeast Asia is one of the most exciting regions in the world and offers great opportunities for Munich Re.
As part of our expansion for the Southeast Asia team, we are looking for an experienced Senior Operations Officer with a focus in health insurance products to work in the Health Team.
Your job:- Reporting to the Head of the Heath team, you will support In-Force Health clients by offering value services on their claims management processes, to improve their profitability and help grow the Reinsurance health book for SEA region. In particular by providing:
- On-site, detailed, TPA audits, or audits of clients’ own claims management processes, and investigations into providers’ processes;
- Investigations into fraud, waste and abuse in all three of the partners i.e. policyholders, providers and payers;
- Support on managing real-time inpatient claims, including advice on pre-authorization protocols.
- Benchmarking on providers’ and TPAs’ fees, against marketplace averages.
- Consultations and advice on better ways to manage claims including advice on claims guidelines, network selection and management, primary care protocols.
- You will advise on, and support, the implementation of new solutions for clients in better claims management processes. This would include defining the execution model of such solutions including resources, expertise, products, digital / technology tools, and execution strategy.
- You will also support tenders by including discussions on bespoke value-add services for prospect clients, to support the growing MR SEA Health RI book.
- Bachelor’s degree, preferably in economics, mathematics, medicine or business administration, or similar qualification.
- Minimum 15 years of relevant experience in client management and business development including managing health insurance, health claims or reinsurance business, preferably in SEA region.
- Excellent expertise and track-record in working across the full value-chain of health insurance – in particular health insurance operations including medical and claims cost containment, and growth strategies, product development and delivery, risk selection & risk management practices.
- Ideally experience working within a TPA or equivalent, providing strong familiarity with their typical processes;
- Knowledge of healthcare industry, health insurance data assets and its management, health insurance risk, technology, and emerging trends in health insurance industry.
- Competent in data analysis and handling large volumes of data, ideally in SQL or equivalent. Good grasp of Excel and numerical ability.
- Flexible and hybrid working arrangement
- Generous annual leave allowance
- Competitive dental, life and health insurance coverage
At Munich Re, we embrace, and value, the interaction of diverse backgrounds, experience, perspectives and thought. This interaction is the foundation of our open culture, spirit of partnership, of how our teams are built and cultivated, and of how we are supported and developed. And at the centre of this interaction is each of us.
Tell employers what skills you have
Healthcare Industry
Claims Management
Growth Strategies
TPA
Data Analysis
Reinsurance
Medicine
Mathematics
Risk Management
Administration
Economics
Audits
Fraud
Health Insurance
Benchmarking
Shipping
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