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Insurance Operations & Underwriting Lead

aprilinternationalasia

Pudong, Shanghai, China Full-time Posted 8d ago
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For over 30 years, APRIL International has specialised in providing innovative international health insurance solutions. We design, distribute, and manage insurance plans and assistance services for individuals and businesses worldwide. With teams operating across Asia, Europe, and the Americas, we are committed to ensuring our members have access to the best care, no matter where they are. As part of the APRIL Group, an insurance specialist with 3,000 staff members in 20 countries, we are dedicated to simplifying insurance and delivering exceptional customer experiences. To sustain the company's growth and expand our services, we are currently looking for Insurance Operations & Underwriting Lead Role Purpose: This role is responsible for the end-to-end delivery of insurance operations in China, covering Underwriting, Policy Management, Claims Handling, and Customer Service. The position requires a hands-on, multifunction profile able to ensure operational quality, regulatory compliance, and service excellence in a developing or transitioning market. Key Responsibilities: 1. Underwriting Support & Risk Assessment * Perform and oversee underwriting activities in line with delegated authority and regional underwriting guidelines * Review risks, policy terms, benefits structures, exclusions, and pricing inputs * Act as the operational interface between local teams and regional underwriting/insurer partners * Ensure underwriting decisions are properly documented and auditable 2. Policy Management & Administration * Manage the full policy lifecycle: onboarding, issuance, endorsements, renewals, and cancellations * Ensure accuracy and timeliness of policy documentation and system records * Coordinate with brokers, insurers, and internal stakeholders on policy changes * Identify and correct data quality or process gaps impacting policy administration 3. Claims Handling & Oversight * Manage day-to-day claims handling, from first notification to settlement * Ensure claims are assessed in line with policy terms, SLAs, and local regulations * Act as escalation point for complex, high-value, or sensitive claims * Monitor turnaround times, leakage risks, and claimant experience 4. Customer Service & Service Quality * Act as senior point of contact for key corporate and individual clients * Ensure consistent, professional, and timely responses across all touchpoints * Handle service escalations and complaints, including root-cause analysis * Drive a client-outcome-focused service culture across operations 5. Compliance, Controls & Market Practices * Ensure compliance with local regulatory, insurer, and internal governance requirements * Maintain operational controls across underwriting, policies, and claims * Support audits, insurer reviews, and internal compliance checks * Keep abreast of regulatory and market practice changes impacting operations 6. Continuous Improvement & Cross-Functional Support * Identify and implement process simplifications and efficiency improvements * Support regional initiatives such as system enhancements, reporting upgrades, and standardisation * Contribute to operating model evolution as the China business scales * Provide ad-hoc operational or project support as required Qualifications and Experience: * Solid experience across multiple insurance functions (underwriting, policy admin, claims, or operations) * Prior exposure to health insurance / IPMI / employee benefits strongly preferred * Strong understanding of insurance policy structures and claims adjudication * Ability to operate hands-on, independently, and with limited local support * High attention to detail and strong ownership mindset * Comfortable interfacing with insurers, brokers, providers, and internal stakeholders Key skills: * Fluent Mandarin required; working English required * Experience with insurance administration and claims systems preferred By submitting an application you indicate that you have read and accept the terms of the APRIL data privacy notice available at https://assets.april.fr/april-international/Documents/files-april-asia-privacy-notice-applicants.pdf and the Bamboo HR LLC privacy policy available using the link at the bottom of this page.

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