Medical Advisor

Medical Advisor

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 desirable
• 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

73870 | 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