Thibaut ROUILLON

Medical Risk Analyst and Pricing (EMEA Area) at APRIL International
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Contact Information
us****@****om
(386) 825-5501
Location
France, FR
Languages
  • Francais Native or bilingual proficiency
  • English Professional working proficiency
  • German Elementary proficiency
  • Arabic Elementary proficiency
Skills

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Alain FARMACHI

h your professional network. Access knowledge, insights and opportunities. Alain FARMACHI a envoyé le message suivant à 11:06 Voir le profil de AlainAlain FARMACHI Alain FARMACHI 11:06 Une constante qualité d'analyse avec une capacité de synthèse des informations permettant d'aboutir à un avis motivé, et justifié, face aux situations complexes caractéristiques de l'assurance de personnes à l'international.

Jean-Pierre RIEP

J'ai recruté Thibaut à l'époque chez April International. C'est une personne curieuse, sérieuse et rigoureuse, je n'ai donc pas regretté de l'avoir recruté !

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Credentials

  • English Capacity
    Wall Street English
    Jan, 2012
    - Nov, 2024
  • Socle Reglementaire DDA
    UNIVERSITE APRIL

Experience

  • APRIL International
    • France
    • Insurance
    • 100 - 200 Employee
    • Medical Risk Analyst and Pricing (EMEA Area)
      • Sep 2019 - Present

       Supervise insurability about medical, special and professional risks (data collection according Medical laws legislation, with customer…) Validation, improvement and evolution of our underwriting and pricing’s interns tools Quote establishment. Proposition of “hand-made” solutions (Surpremium, Exclusion, New Cover …) Warning on fraud detection during underwriting time Watch cell on international health fees evolutions ( working strongly closes with Claim department) Participation ( level 1-2) of arbitration commission with commercial dept.’s negotiations Strong collaboration with transverses team to make easy claims supervision and client relation Focus on strong qualitative Client’s advice, relation and experience ( BtoB and BtoC) Contribution on underwriting process, data issues, claim and commercial improvement Show less

    • Claim Analyst , Health, IPMI EMEA
      • Jun 2016 - Sep 2019

      As Claim Analyst in Refunding Dept, checking of guarantees and process conformity of Expatriat and Travellers Health policies ( IPMI). Position of Customer loyalty and management of relation with outside partner, Hospital, Clinic, Medical Boards and with Underwriting Dept to renew policies but too about new guarantees modeling in Health on EMEA Area. Checking of Guarantee conformity with Health Policy to edit Guarantee of Payment to Hospital Management of accounting refund. Reporting: volume of incoming invoices, payments, seizures made by the teams Cost Containment Worldwild development and process on EMEA, Asia and USA Qualitative Supervision with Underwriting Dept on new file and renewal claimed portfolio Valorization & enhancement of DATA about Claiming, Network and Buisness Development. Capture and Discovery Collect of information from customers or providers for the payment of invoices to our international medical partners and Medical Board Negotiation modalities supported by hospitable area, and outside the partner network, for new opportunity of partnership Validation International Guarantee of Payment before insured hospitalisation Reporting and confidentiality process of Health documents and Data, with Account mission Treatment in live by phone with customer and service provider Developed innovative provider payment services Implementing medical cost containement strategy Show less

  • AXA Global Re
    • France
    • Insurance
    • 1 - 100 Employee
    • Reinsurance Claim Technician
      • Jul 2015 - Dec 2015

      Claim Analyzes on International Treaties ( South America, France, Asia) As a Claim Technician Analyst dedicated to the AXA Reinsurance Department, checking all the legal aspects of the Pole’s activities of the Group in dedicated area, P&C Branches, Instruct the claims accepted in compliance with the contractual conditions and secure the agreement with external reinsurers, and recovery of the amounts payable by them Ensure the receipt of notices of claims and examine their admissibility (, if necessary,)  check the conditions under reinsurance treaties related to claims and request  additional information from the subsidiary  Transmit notice of claims to reinsurers and monitoring applications  Manage claims files in accordance with the agreements and practices of reinsurance according their severity and complexity determination Save data in computer based claims and verify / improve the reliability and durability of claims data (claims management in the renewal of treaties, management accounting losses ...)  Identify deterioration factors of treaties  Analyze non-renewed treaty-related data and improve management  Improve Risk Management with data treatment Department  Solution’s implementation technical in treaty with Underwriting Pole Contribute to the reporting  Improve the qualitative and quantitative management of portfolios  Monitoring and warning according to alert level  Improve alert steps Identify the most important claims files on portfolios:  Development of the corresponding synthesis  Focus Analyses about Claim Structure and context  Checking expertise process and validation  Monitor the so-called major issues in collaboration with the AXA entities Show less

  • AXA
    • France
    • Insurance
    • 700 & Above Employee
    • Junior Underwriter
      • May 2013 - Jul 2015

      Customer Management  Analysis and detection of the client, definition of insurance requirements, technical advice for professionals   Sales development ( bank account openings, sales of savings products, associated services...)  Loyalty by claim montoring, promotion of AXA offer combined with broker,  Customer files managements Risk Management  Underwritting : Motor, P&C, Building, Liablity:  Receipt and checking of technical file, visit and risk prevention for professional, Preparation of bid analysis report  Control Quality with underwriting Company criteria, Risk Mapping, Control and management of risks, Overall approach and treatment of risks, vulnerability identification and business advice. . Claim Management  opening study of responsibilities, implementation of franchises, expert missions, analysis of expert reports,regulations  Instruct the files and use the equity reimbursement from opposing parties based on technical and legal grounds. Analyze the admissibility of adverse claims, adjust or oppose it, arguing  Appreciate all the damage and assess as accurately as the amount of the recourse to submit or suffer  Conduct telephone reminders in order to reduce collection time. Follow the expert reports Take the best decisions both technical and procedural, to jointly defend the interests of the company and customers, in a relational framework with external stakeholders (companies, organizations, experts).  Implementation of operations necessary for the creation of the record: determining the amount of compensation up to the resolution of the insurance claim in respect of technical procedures and deadlines  Respond To inquiries, process and record insurance claims in real time.  National Orchestra for the test software Back office daily management Show less

  • AXA
    • France
    • Insurance
    • 700 & Above Employee
    • Junior Underwriter
      • Sep 2011 - Mar 2013

      First time as worker-linked training all long Bachelor year to be graduat, in Underwriting dept for Axa, I join the Underwrting team of Property Damages, about Building and Industrial Risk branches -Assessment of risk admissibility-Pricing Propostion by different Company critera-Monitoring conformity underwriting rules and business management-Evaluation of renewal terms with risk waking according with agents and brokers-Assistance to tender on Building Damages perimeter-Management negotiation protocols Show less

    • Employee
      • Jul 2010 - Aug 2011

      Portfolio Monitoring, Client Management, Opening Claim, Motor, Home, LiabilityBanking Prospection

  • national education
    • Primary and Secondary Education
    • 700 & Above Employee
    • Supervisor
      • Oct 2006 - Nov 2010

      Supervisor internship / externship, administrative assistant, student tutoring and supervision Supervisor internship / externship, administrative assistant, student tutoring and supervision

Education

  • Institut national des langues et civilisations orientales (Inalco)
    Diplôme de Compétence en Langue, Langue, Langue et littérature arabe
    2017 - 2018
  • Institut Superieur de la Réassurance (Paris)
    Master Degree, Reinsurance Sciences
    2014 - 2015
  • ENASS
    Bachelor's degree, Assurance, risques d'entreprise
    2011 - 2012
  • University of Law, Nancy
    Bachelor of Laws (LLB), Law
    2006 - 2010

Community

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