Trusted Physician (all)

80-100% At SWICA, health is our focus. And this is exactly where your expertise will make a difference. As a trusted physician, you are an important medical authority and contribute to fair and comprehensible benefit decisions with well-founded, independent assessments. You operate at the interface of medicine, insurance, and law, collaborating with various specialist departments. You can expect a highly specialised role with a great deal of personal responsibility and professional scope, where you assess complex medical issues and make an important contribution to high-quality healthcare provision. Together with an experienced team of specialists and trusted physicians, you work in a respectful environment with short decision-making paths and benefit from flexible working models that enable you to optimally balance work and private life.Trusted Physician (all)This is how you shape health • You assess medical matters within the framework of social health insurance and prepare well-founded trusted medical reports • You examine benefit requirements according to KVG, taking into account the criteria of effectiveness, appropriateness, and cost-efficiency (WZW) • You assess cost approval requests for medicines, especially in the area of off-label use according to Art. 71a-d KVV • You conduct trusted medical examinations and provide advisory support to our benefit departments on medical issues • You support the legal department with medical questions related to orders, objections, and complaints • You advise underwriting in supplementary insurance business as well as other internal stakeholders on insurance medical topics • You contribute to the development of foundational papers, standards, and insurance medical concepts • Depending on interest and experience, you represent SWICA in specialist committees and industry organisations This is what sets you apart • Specialist medical title and several years of clinical professional experience, ideally in General Internal Medicine or a comparable discipline • Trusted Physician SGV qualification or willingness to obtain it • Several years of experience in insurance medicine or a strong interest in this field • Enjoyment of complex medical issues as well as an analytical and solution-oriented working style • Interest in legal and health economic contexts • Strong communication skills and enjoyment of interdisciplinary collaboration • Very good German skills as well as good knowledge of another national language and English Why SWICA • We build on humanity. That is why openness, respect, and trust are at the centre of our everyday work. We take action, assume responsibility, and think in solutions – together, for our customers. This is also why we have been number 1 in customer satisfaction for many years. • We trust you and give you space. With annual working hours, at least 5 weeks of holiday, and holiday purchase options on request. With part-time models and generous home office options within the possibilities of the role, you can organise your daily routine largely flexibly. • We appreciate and reward your work – with a market-appropriate salary, up to 1500 francs annual allowance for personal wishes, and generous contributions to basic and supplementary insurance for you and your family. • We offer you prospects. With a generous continuing education regulation, we support your professional and personal development – for your current role and your goals for tomorrow. • Because health is everything. With our company health management and region-specific offers, we take care of your well-being. And if things turn out differently: 100% net salary continuation. • We think long-term. With three savings plans, workload-dependent coordination deductions, and benefits well above the legal minimum, you are well provided for your future. Your workplace Winterthur Do you have questions? Veronica Massarelli, HR Recruiting, will be happy to provide information. +41 52 244 28 05 Only direct applications will be considered.