Insurance

List of positions in the Insurance category and their job descriptions

Accounting Clerk

• Checking invoices and obligatory attachments from healthcare providers (settlement benefits, prescriptions, vouchers, and other documents in accordance with contracts).
• Registering invoices in the invoice book of healthcare providers.
• Recording and processing settlement benefits in the information system.
• Verifying compliance with the contractual terms and conditions regarding the reporting of healthcare by healthcare providers.
• Printing the associated protocols and sending them to healthcare providers.
• Preparing accounting documents for archiving.
• Providing information, consultation, and handling complaints from healthcare providers regarding the settlement of health care.

Actuary

• Monitoring the insurance market, developing new products and proposing changes of existing products.
• Formulating insurance contracts, insurance conditions and special arrangements.
• Determining premium tariffs, the amount of technical provisions in life insurance and supplementary insurance.
• Preparing and updating technical business plans and manuals.
• Preparing documents for the implementation of changes related to product innovation in the information system.
• Creating and updating computer programs for distribution networks, pricing, taxation and technical changes in life insurance.
• Testing the profitability of products.
• Preparing personalised insurance offers.
• Preparing documents for the assessment of non-standard changes in life insurance.
• Performing and ensuring activities related to financial funds in investment life insurance.
• Preparing documentation and participating in conducting methodological trainings for distribution networks.
• Preparing documentation for accounting, the National Bank of Slovakia, auditors, shareholders and other entities, preparing periodic reports for the reinsurer.
• Providing expert consultation on life insurance products to other units of the company.

Branch Director

• Overseeing the overall operations and strategic direction of the branch.
• Leading and managing a team to ensure high levels of performance and productivity.
• Developing and implementing business plans to achieve branch goals and objectives.
• Building and maintaining strong relationships with clients, stakeholders, and partners.
• Ensuring compliance with company policies, industry regulations, and quality standards.
• Monitoring branch performance metrics and preparing regular reports for upper management.
• Identifying opportunities for growth and improvement within the branch's services and operations.
• Managing budgets and financial performance, including forecasting and expense control.
• Conducting regular training and development sessions for staff to enhance skills and knowledge.
• Addressing customer inquiries and resolving issues promptly to maintain satisfaction and loyalty.
• Collaborating with other branches and departments to align strategies and share best practices.
• Representing the branch at industry events, conferences, and community engagements.

Department Manager

• Lead and manage the Assurance department to ensure operational excellence and achievement of organizational goals.
• Oversee the planning, execution, and delivery of assurance services, ensuring compliance with international standards and company policies.
• Develop and implement strategies to enhance the effectiveness and efficiency of assurance processes.
• Supervise, mentor, and evaluate team members, fostering professional growth and high performance.
• Collaborate with cross-functional teams to address client needs and deliver tailored assurance solutions.
• Monitor industry trends and regulatory changes to ensure the department's services remain competitive and compliant.
• Prepare and present reports on departmental performance, key metrics, and areas for improvement to senior management.
• Establish and maintain strong relationships with clients, ensuring high levels of satisfaction and trust.
• Identify opportunities for business development and contribute to the growth of the Assurance department.
• Manage departmental budgets, resources, and schedules to optimize productivity and cost-effectiveness.
• Ensure the implementation of risk management practices and uphold the highest standards of quality and integrity.
• Represent the department in internal and external meetings, promoting the organization's values and mission.

Health Care Purchasing Specialist

• Checking the administration and updating of the register of healthcare providers (HCP).
• Checking the completeness and veracity of contracts concluded with HCP.
• Taking part in the implementation of consultation procedures regarding the contractual terms.
• Processing the accepted comments regarding the contractual terms and ensuring their incorporation into contractual relations.
• Cooperating in the preparation of proposals for the company’s health programmes.
• Assessing material and technical equipment regarding the contractual terms of HCP in relation to their payment.
• Working with analyses and creating secondary analyses in the area of price conditions as set out in the contracts with HCP on the basis of the company’s requests and needs.
• Preparing statistical overviews of the impact of price adjustments of the terms for HCP on the company’s budget.
• Issuing opinions and processing requests addressed to the Healthcare Surveillance Authority, the Ministry of Health of the Slovak Republic and other institutions, if their request is factually appropriate for the department.

Health Program Development Specialist

• Analysing the needs of the target groups of policyholders in individual regions.
• Designing health programmes and their implementation mechanisms.
• Designing ways of using policyholder benefits in the scope of health programmes.
• Coordinating the implementation of health programmes.
• Monitoring and evaluating the development of health programmes in order to innovate health programme concepts.

Insurance Broker

• Seeking out potential customers and providing customer care to existing clients.
• Analysing needs and proposing individual insurance solutions according to customer requirements.
• Providing advice and consultations concerning the insurance industry.
• Concluding contracts with individual and corporate clients.
• Responsibility for updating client database.
• Participating in regular trainings and courses.

Insurance Payment Control Specialist

• Reviewing regulations and insurance payments recorded in the company’s information system and proposing external controls.
• Conducting external controls of compliance with the insurance payer’s statutory obligations and updating data on the insurance payers in the register of payers.
• Processing the results of external controls in the information system and issuing control protocols.
• Preparing documents for recovery.
• Monitoring and statistical evaluation of the results of external audits.
• Registering documents issued by insurance payers related to insurance payments in the company’s information system and issuing certificates for insurance payers.
• Communicating with insurance payers when dealing with problems with reporting and insurance payments.

Insurance Technician

• Conducting technical inspections after an insurance claim is reported.
• Documenting insurance cases with a camera or camcorder.
• Preparing documents for the settlement of insurance cases.

Insurance Underwriter

• Assessing the risks of the proposed insurance, completing insurance proposals and wording the insurance endorsements.
• Ensuring medical examinations, medical records and other data that are necessary for a comprehensive risk assessment.
• Reviewing insurance policies in terms of their accuracy and completeness, and entering the policies into the information system.
• Reviewing insurance policies concluded after the evaluation.
• Keeping records of the personal data of people interested in insurance, including those with whom an insurance policy has not been concluded.

Insurance administrator

• Checking the accuracy and completeness of contracts and their amendments, their processing in the information system and intervening in incorrect contracts.
• Processing the technical and nontechnical changes in contracts.
• Supplementing insurance premiums, and entering premium accountings into the information system.
• Identifying and pairing the received payments with the premium regulations.
• Sending reminders and calls regarding the monthly accounting and outstanding premium payments to clients.
• Processing unused insurance premium and premium overpayments (calculation and payment to clients).
• Cancelling, terminating and extending insurance contracts.
• Preparing documents for bookkeeping.
• Keeping a register of contracts in accordance with the applicable registration regulations of the company.
• Communicating with clients and distribution networks regarding the management of insurance policies.

Loss Adjuster

• Performing or ensuring the sightings of damaged or destroyed things, including the completion of the relevant documentation.
• Communicating with clients, involved or invited persons, public authorities and external contracting partners with the aim of ensuring all the documents necessary for a comprehensive assessment of a claim.
• Assessing client claims for indemnification under the applicable legal regulations and insurance contract and informing clients about the outcome.
• Determining the amount of indemnification reserve and the amount of indemnification in accordance with applicable legal regulations, internal regulations and insurance contract and the delivering the insurance benefits to clients.
• Preparing documentation for the regression procedures.
• Handling complaints and appeals from clients.
• Providing professional consulting services to clients and other sections of the company in matters related to the settlement of claims in the given class of insurance.
• Updating the appropriate forms, internal regulations and directives.

Product Development Specialist

• Monitoring the insurance market, developing new products and submitting proposals for changes to existing products.
• Completing the texts of contracts, insurance clauses and special arrangements.
• Drawing up the guidelines and bylaws relating to a given class of insurance.
• Analysing the rates of insurance, and monitoring and analysing the loss ratio of the products.
• Preparing documents for the implementation of changes related to product innovation in the information system.
• Preparing and completing methodical seminars for distribution networks.
• Providing expert consultations on the products in a given class of insurance to other sections of the company.

Registry Administration Officer

• Registering data from the applications of policyholders and insurance payers in the register of policyholders and register of insurance payers in the information system.
• Updating data on policyholders and insurance payers in the information system on the basis of the received and requested documents.
• Issuing health cards, the European health insurance cards, and other certificates for policyholders.
• Issuing and confirming entitlement forms.
• Registering and archiving mass communications from insurance payers.
• Solving clashing insurance relations in co-operation with the HSA and other health insurance companies.

Reinsurance Specialist

• Processing the proposals of the company’s actuarial capacity to ensure individual risk groups.
• Drafting reinsurance program proposals (obligatory reinsurance).
• Negotiating the terms of reinsurance agreements with reinsurers, and ensuring compliance.
• Defining the parameters of reinsurance contracts in the information system.
• Preparing specifications for the IT processing of reinsurance risks in the information system.
• Ensuring commutation (termination) processes of proportional reinsurance contracts.
• Providing expert consultation of policy conditions regarding individual business cases for departments developing insurance products.
• Ensuring facultative reinsurance and special acceptances for individual risks.
• Reimbursing premiums and settling the performance of reinsurers.
• Preparing documents for accounting.
• Preparing analyses and reports for the reinsurers, board, auditors, and supervising bodies of the company.

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