Medical Advisor

7 days ago


Manila, National Capital Region, Philippines Allianz PNB Life Insurance, Inc. (formerly PNB Life Insurance Inc.) Full time

BENEFITS/PERKS

Competitive Salary13th and 14th month salary guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceBe part of a pioneer teamKEY 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 REQUIREMENTSNursing Graduate will be prioritizedMedical Allied Graduate with relevant experiencePrevious clinical nursing experience is an advantage.Previous Medical Claims Review experience is requiredFluent 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

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