Primary Role Description: -
The incumbent will be a part of the advanced descriptive and predictive analytics sub-function to work on analysis/reports/dashboards related to superior risk selection, risk assessment and risk management.
To help data evidence-based decision-making for the business to enable better understanding and management of the health risks.
The role requires a valuable understanding of Health Insurance domain in India and various drivers of profitability.
Responsible to ensure that the organization has a high visibility on the performance of the products and the portfolio consistently, generating relevant/actionable insights, draw attention to key trends and areas of concern, help evolve solutions and enable implementation across various functions.
Creating a solid foundation key data points required for the above analysis would be a key responsibility.
Creating high visibility of health insurance performance indicators to senior management/ key stakeholders
Perform analysis for monthly/quarterly discussion with stakeholders & highlighting inferences, actionable insights and share recommendations for corrective/preventive action & enable implementation of agreed actions
Key Areas of analytics
Claim ratio, incidence rates across channels, products, locations, agents, partners etc.
Claim analytics – across products, benefits, bill components, customer & provider segments
Underwriting: consistent monitoring of nature of risk on-boarded vs claim outcomes to support improvements in risk selection process
Build and strengthen data foundation:
Ensure maintenance and easy availability of quality data in SAS-enabled analytics setting that can be readily used to perform regular/ ad-hoc analytics
Improve scope and quality of data collected/captured/made available for analysis
Create and maintain supporting documentation/ SOPs