[Job Purpose] Reporting to the Program Risk Manager in Korea, the Risk Analyst will analyze the portfolio by conducting audits, quality monitoring, root cause analysis and statistical trend analysis. We are on a journey to automate our auditing team and processes, and introduce deep and machine learning into our Fraud Detection system. The successful person will understand our claims management platforms and databases, from the bottom up, creating risk rules and processes that protect our business, ensure correct claim outcomes, accuracy of our teams, and program profitability.
[담당업무] - Evaluate claims management systems, adjuster processes, claims data, and claim outcomes, focusing on trends, outliers, accuracy and anomalies with the goal of real-time alerting and riskscoring. - Provide in-depth analysis and insight to drive performance, identifying opportunities and developing recommendations for change. - Conduct root cause analysis to understand trends and anomalies, and, when necessary, work in a cross-functional environment to quickly resolve problems. - Maintain risk rules engine to detect fraud, moral abuse, and normal behaviour correctly assessing each claim as High, Medium, or Low risk. - Design, manage and automate claim audits and quality monitoring which inform future action, drive better claim outcomes, ensure consistent processes, drive profitability and the best possible customer experience. - Work with business and IT to build system requirements, monitor the development of those requirements, and conduct user acceptance testing and then perform post production monitoring. - Work with internal and external stakeholders ? insurance companies, and adjusting companies ? to build relationships, work instructions and 360 feedback that encourage accuracy, compliance and correct claim outcomes.
[Essential Experiences, Skillsets & Personal Competencies] * 필수요건 - 5 years experiences in Insurance Industry (Life or Non-Life, Operations, RM, Actuary) - Intermediate English (Verbal & Written) with a strong desire to improve - Proactive and Confident expression based on Data analysis - Can use automation tools such as Python, R, and Power BI - Excellent in SQL, Advanced in Excel - Data modelling, scoring metrics, what-if scenario analysis experience a plus
[Desirable Personal Competencies and Attributes] * 우대요건 - Business communication skills in both English and Korean - Ability to be "hands-on," particularly with data collation and preparation - Ability to work independently and as part of a team - Self-starter with a can do attitude - Strong attention to detail but at the same time the ability to understand the big picture - Ability to manage time pressures and constraints - Exceptional time management and organizational skills - Intellectual curiosity and advanced problem solving skills * Applies mathematical and statistical analysis in problem solving * Gathers evidence through research * Evaluates options & derives conclusions * Quantitative thinker * Effective at planning for and initiating change - Adept at relationship building and maintenance * Expert in liaison roles * Works well on a team basis * Adept at conflict management * Motivates fellow workers * Ready willingness to share credit with others * Expertise in interpersonal contact * Effective in dealing with many different people / personality types - Ability to anticipate problems and opportunities and the initiative to pursue solution