Duties & Responsibilities
Pricing and Quotations
• Prepare corporate medical quotations and renewal terms using internal pricing models
• Build and maintain rate tables and apply the appropriate loadings and statutory gross-ups
• Analyse claims experience, exposure and benefit changes to inform renewal pricing
• Support tender pricing, including capitation models
• Apply underwriting and discount rules, flag breaches, and route approvals correctly
Claims and Experience Analytics
• Monitor loss ratios, claims frequency and severity across schemes and flag adverse experience early
• Carry out experience reviews, anti-selection analysis and benefit sensitivity testing
• Build provider and scheme claims intelligence, including episode-of-care analysis and peer benchmarking
• Reconcile claims data across multiple sources and funding arrangements
Reporting and Management Insight
• Produce scheme performance reviews, renewal readiness packs and ad hoc reports
• Maintain dashboards on quote volumes, premiums, loss ratios and pipeline
• Prepare decision-ready decks and written advisories for management and clients
Data and Systems
• Extract, clean and structure data from claims, membership and finance systems
• Support development, testing and improvement of the department's pricing and analytics platform
• Drive process innovation, including the use of AI to enhance pricing and analytics workflows and surface deeper insight
• Automate recurring pricing and reporting tasks
• Support data integrations across claims and administration systems
Portfolio and Stakeholder Support
• Support the international medical partner portfolio alongside core local functions
• Work with Underwriting, Business Processing, Sales and Retention to resolve pricing and data queries
• Provide costing and technical input to product development
• Advise the manager on anomalies, risks and areas for improvement
• Perform any other duties as assigned
Personal Attributes
QUALIFICATIONS AND EXPERIENCE
• Degree in Actuarial Science, Statistics, Mathematics or a related quantitative field
• At least 5 years' experience in health or medical insurance pricing and analytics
• Solid progress in professional actuarial examinations (IFoA, SOA or equivalent)
• Strong understanding of medical insurance products, underwriting and claims
• Proven pricing and experience-analysis work in a live insurance environment
TECHNICAL SKILLS
• Advanced Excel and actuarial or financial modelling
• SQL for data extraction and manipulation
• Python or R for analytics and automation (added advantage)
• Data visualisation and dashboarding (Power BI or similar)
• Comfortable handling large claims and membership datasets
CORE COMPETENCIES
• Strong analytical and problem-solving ability
• High attention to detail and technical accuracy
• Clear report writing and presentation skills
• Sound commercial judgment
• Works well under pressure and to tight turnaround times
• Dependable team player
KEY PERFORMANCE AREAS
• Pricing accuracy and turnaround
• Portfolio profitability and loss ratio monitoring
• Quality and timeliness of management reporting
• Renewal and tender support
• Data integrity and analytical rigour