Medical Advisor (Doctor)

MSH SEA SDN BHD; Kuala Lumpur; On-site; MYR 140,000 - 210,000; Full time

Job summary

MSH International is seeking a Medical Advisor for Claims and Medical Case Management in the SEA region. You will review insureds' medical conditions, approve letters of guarantee for hospitalisation, and assess complex medical claims.

The role requires a Medical degree with at least three years in a hospital setting, and advanced knowledge of Microsoft Office. Strong leadership and customer-oriented approach are essential to manage the Medical department's team and coordinate with global

Qualifications

• Degree in Medicine with at least 3 years' hospital experience.
• Advanced knowledge of Microsoft Office is required.
• Experience in medical claims or case management is advantageous.

Responsibilities

• Review insured's medical condition and approve Letter of Guarantee for hospitalisation.
• Review complex medical claims for reasonable and customary treatment/charges.
• Case-manage insured's medical treatment for continued care access.
• Lead the Medical department's team to provide medical review for claims.
• Coordinate with clients, insurers and medical teams in other centres.
• Provide medical knowledge training to claims staff.
• Participate in business optimisation projects within the department (procedures/tools/organisation) including IT collaboration.
• Coordinate Medical activity with counterparts in Paris, Tunis, Dubai, Calgary and Shanghai.

Skills

Managerial skills

Leadership

Team player

Efficiency

Customer orientation

Listening & reassurance

Calm under pressure

Priority management

Autonomy

Analytical skills

Education

Degree in Medicine

Tools

Microsoft Office

Job description

About us

MSH International is a global leader in international health and life insurance solutions. We have over 1,400 staff worldwide and 50 years' experience in servicing our clients. As we continue to grow, we provide great career opportunities to young talents aspiring to grow their work experience.

We are in search of a Medical Advisor for Claims and Medical Case Management in the SEA region.

Tasks & responsibilities

The Medical Advisor will be responsible for:

reviewing the insured's medical condition and confirming approval for the placement of a Letter of Guarantee to assist with the insured's hospitalisation

reviewing complex medical claims for reasonable and customary treatment and charges

case-managing the insured's medical treatment to ensure access to suitable continued medical care

managing the Medical department's team to provide medical review for claims received

ensuring the handling of particularly sensitive files in liaison with clients, insurers and medical teams in other centres

providing appropriate medical knowledge training to claims staff

participating in or leading business optimisation projects within the department (improvement and standardisation of procedures, development of tools, changes to organisation), including with the IT department

coordinating the Medical activity with counterparts in other management centres in Paris, Tunis, Dubai, Calgary and Shanghai

Qualifications & experience

We seek talents with:

a Degree in Medicine with at least 3 years' experience in a hospital setting

advanced knowledge of Microsoft Office (a must)

Skills and work competencies in the following will be an advantage

Good managerial and organisational skills

Strong and proven leadership skills

Good team player

Works quickly and efficiently

Customer oriented

Ability to listen to and reassure policyholders

Ability to take a step back and remain calm when managing insureds

Good priority management

Autonomy

Good analytical skills

Languages

Strong command of English

French, Mandarin, Bahasa Indonesia or Tagalog language competencies are an added advantage

Working arrangements

Flexibility to work staggered shifts as required

Possibility of working on Saturdays and Sundays, with two rest days granted in compensation

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