Medical Advisor (Doctor)

MSH International; Kuala Lumpur; On-site; MYR 60,000 - 80,000; Full time

Job summary

MSH International, a leader in health and life insurance solutions, is looking for a Medical Advisor for Claims and Medical Case Management in the SEA region. The successful candidate will manage medical reviews, oversee a team, and coordinate with offices globally. Candidates should have a degree in medicine and at least 3 years of hospital experience, offering a vibrant career opportunity.

Qualifications

• Minimum 3 years of experience in a hospital setting.
• Strong command of English is required.

Responsibilities

• Review insured's medical conditions and approve Letter of Guarantee.
• Manage the medical department’s team for claims review.
• Provide medical knowledge training to claims staff.

Skills

Leadership

Team player

Customer-oriented

Analytical

Education

Degree in Medicine

Tools

Microsoft Office

Job description

MSH International is a global leader in international health and life insurance solutions. We have over 1400 staff worldwide and 50 years of experience in servicing our clients. As we continue to grow, we provide great career opportunities for young talents aspiring to enhance their work experience.

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

Tasks & Responsibilities

• Review insured’s medical condition and approve the placement of a Letter of Guarantee to assist with hospitalization.
• Review complex medical claims for reasonable and customary treatment and charges.
• Case-manage insured’s medical treatment to ensure access to suitable continued medical care.
• Manage the Medical department’s team to provide medical review for claims received.
• Handle sensitive files in liaison with clients, insurers, and medical teams in other centers.
• Provide medical knowledge training to claims staff.
• Participate in or lead business optimization projects within the department, including procedure improvement, development of tools, and organizational modifications, in collaboration with the IT department.
• Coordinate medical activities with counterparts in Paris, Tunis, Dubai, Calgary, and Shanghai.

Qualifications & Experience

• Degree in Medicine with at least 3 years of hospital setting experience.
• Advanced knowledge of Microsoft Office.

Skills and Competencies

• Proven leadership skills.
• Good team player.
• Work efficiently and speedily.
• Customer-oriented with good listening and reassurance skills.
• Calm and composed when managing insureds.
• Effective priority management.
• Autonomous and analytical.

Languages

• Strong command of English.
• French, Mandarin, Bahasa Indonesia, Tagalog language skills are advantageous.

Apply now and grow your career with MSH International.

https://www.msh-intl.com/en/about-us.html