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Medical Advisor in Kuala Lumpur at Great Eastern

Date Posted: 7/18/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Kuala Lumpur
  • Date Posted:
    7/18/2018
  • Job ID:
    594/392/1506

Job Description

Job ID: 000594
  • Develop and successful implementation of guidelines in medical management, including review new technologies and procedures
  • Providing ad hoc medical consultation and opinion in GL issuance including procedure billing (Professional Fee Query) and medical questionnaire
  • Providing medical consultation and opinion in regards of admissibility of health claims, fulfilment of policy contract definition in living claims including overseas bills, investigation decisions and scopes etc
  • Assist in Customer Services in complaint management, dealings with OFS / BNM
  • Management of Great Synergy Learning Centre for the department, including conducting case study and medical training
  • Profiling of specialists and diagnosis across Care and Health Claims teams
  • Communicate with specialists with regards to utilization, exceed fees, medical necessity etc
  • Write to appropriate party (doctors concern, hospital CEO, medical council, MOH) regarding overcharging or medical treatment protocol
  • Providing medical consultation and opinion, assisting in interpretation of medical and diagnostic reports
  • To attend to any other tasks assigned from time to time

Job Requirements

  • MBBS or Medical Degree from a recognized university
  • Register with Malaysian Medical Council
  • At least 5 years clinical experience
  • Excellent relationship management and strong supervisory skills
  • Good command of spoken and written English and Bahasa Malaysia
  • Experience in Training is an added advantage
  • IT Savvy
  • Experience in the insurance sector is an added advantage

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