about the company
You will be joining an established global reinsurance solutions company. The organization is recognized for its significant international footprint and its commitment to delivering robust risk management and oversight across diverse geographic regions.
about the job
This is a newly created opportunity for a professional to manage high value medical claims and provide strategic clinical advice to ensure operational stability for a fast growing global firm.
Evaluate and adjudicate complex, high-value medical insurance claims from international markets.
Provide expert medical guidance to support product development and the refinement of policy wording.
Execute regular claims audits to ensure adherence to global quality standards and regulatory frameworks.
Monitor and identify potential instances of fraud or claims leakage to protect organizational costs.
Facilitate training sessions on best practices for claims processing and medical case studies for stakeholders.
skills and experience required
- Professional medical background with experience in nursing or allied health fields would be a good to have
- Proven track record in health insurance claims management and adjudication
- Candidates with local life/health/critical illness claims background are welcome to apply
- In depth knowledge of global healthcare markets and insurance frameworks
- Strong written and verbal communication abilities to manage diverse stakeholder relationships
- Proactive mindset with the ability to work independently on sensitive, high priority tasks
Please click on the 'apply' button to apply online.
(EA:94C3609/R132534)
