Medical Advisor
Job Level:
Entry Level
Location:
PHL: Makati, PH
Area of Expertise:
Physicians
Unit:
Allianz Partners
Employing Entity:
Allianz PNB Life Insurance Inc.
Job Type:
Full-Time
Remote Job:
Hybrid working
Employment Type:
Permanent
ID:
71093
Position Cluster:
n.a.
BENEFITS/PERKS
- Competitive Salary
- 13th and 14th month salary guaranteed
- Performance Incentive Plan / Yearly Bonus
- Retirement Program and Group Life Insurance
- Fixed Day Shift
KEY RESPONSIBILITIES
Key responsibilities will include, but are not limited to, the following:
- Preauthorization of in-patient treatment.
- Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation.
- Case management of complex high value cases.
- Maintain relationships with brokers/clients/providers.
- Medical claims reviews.
- Responsibility for Health, Safety and Welfare within team (please refer to the Company`s Safety Statement for full list of responsibilities).
- Ad hoc duties.
KEY REQUIREMENTS
- Registered Nurse
- Clinical Nursing or Bedside Experience is required.
- Experience supporting the Emergency Room/Department is required
- Previous Medical Claims Review experience is an advantage but not required
- Fluent English- Any other language is a plus.
- Experience within the insurance industry, ideally in healthcare.
- Negotiation experience.
- Strong Knowledge of Microsoft Office (Excel, Word).
- Can work Onsite in Makati City for the first 6 months, Hybrid after
71093 | Physicians | Entry Level | n.a. | Allianz Partners | Full-Time | Permanent
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
Great to have you on board.
Let's care for tomorrow.
