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Medical Advisor at Allianz Global Corporate & Specialty SE

, , Philippines -

Full Time

Start Date

Immediate

Expiry Date

24 Jan, 26

Salary

0.0

Posted On

26 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Registered Nurse, Clinical Nursing, Bedside Experience, Emergency Room Support, Medical Claims Review, Fluent English, Negotiation, Microsoft Office

Industry

Financial Services

Description

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

Responsibilities

Key responsibilities include preauthorization of in-patient treatment and case management of complex high-value cases. The role also involves maintaining relationships with brokers, clients, and providers, as well as conducting medical claims reviews.