Provide strategic medical input and plan into development of the Company's key initiatives in Disease Management programme.
The CompanyA leading multinational insurance and financial services provider, known for its comprehensive range of life insurance products, wealth management solutions, and a strong commitment to promoting health and wellness through innovative programs and customer-centric services. The company operates across multiple markets in Asia, offering financial security and peace of mind to millions of customers.
Evaluate and provide medical expertise / opinions on the necessity and appropriateness of proposed treatments, procedures, drugs, and interventions for insurance claims management.
Review and conduct research on relevant diseases / conditions and treatment plans by establishing sound medical standards for the purpose of health claims adjudication aligning with the international recognized standards.
Collaborate with healthcare providers / specialists to capture more information and insights to provide effective care for the patients.
Drive the development of a strong evidence base through structured collection, analysis and interpretation of health data.
Recommend preventative care measures to reduce the risk of illness or injury.
Stay informed about advancements in medical practices and standards.
Job RequirementsMust have valid APC.
Ideal to have work experience in both government and private hospitals
Tertiary qualification in Medical Science (e.g., MBBS, MD) from an accredited institution.
Work experience: At least 6-8 years of proven clinical experience. Active and unrestricted medical license, with board certification in relevant medical specialty.
Other Requirements: Strong analytical skills with the ability to critically evaluate medical information. Familiarity with insurance claim processes and regulations is a plus. Proficient in using Microsoft Office. Have effective verbal and written communication skills.#J-18808-Ljbffr