Senior Medical Caseworker

4 days ago

Makati City, National Capital Region, Philippines beBeeMedical Full time

As a Crew Medical Case Manager, you will be responsible for the management of medical care for crew members who are medically disembarked in ports of call and/or are repatriated to their home country or designated medical center for medical care. This includes providing direct oversight of medical care and services coordinated through appropriate medical providers, via collaboration with intermediaries, port and/or agents as needed, in assigned countries/regions, until the crewmember has been declared at maximum medical improvement (MMI). The role requires exercising independent judgment and discretion to identify high exposure/significant medical cases expected to exceed applicable deductibles and thereby necessitating applicable P&I Club notification.

Key Responsibilities
  • Plans, evaluates, and facilitates crew medical care and benefits via local port/country agents, intermediaries or designated medical providers in assigned countries/regions until crewmember is declared at maximum medical improvement (MMI).
  • Maintains documentation on case status regularly in Riskonnect System.
  • Communicates with crew member regarding medical benefits and treatment plan at least biweekly, or as deemed by the severity stratification.
  • Calculates and updates financial reserves for each assigned case at least monthly and with any significant treatment plan or new diagnosis.

In addition, you will collaborate with and support crew in port and/or repatriated to determine appropriate treatment location for medical disembarkation. Decision should take into consideration the patient's medical condition, patient transport tolerance, available medical equipment, supplies, medications, and medical expertise at receiving facility. Arranges second medical opinions as necessary.

Requirements
  • Exercises independent judgment and discretion to identify high exposure/significant medical cases expected to exceed applicable deductibles and thereby necessitating applicable P&I Club notification.
  • Collaborates with Legal team in the transferring of cases that become represented, in identification and preparation of case reviews for potential settlement/buyout.
  • Keeps current on availability of medical resources in assigned countries/regions commensurate with new developments in medical industry.
  • Negotiates most favorable rates for quality medical services worldwide.

We know there's a lot to consider. As you go through the application process, our recruiters will be glad to provide guidance, and more relevant details to answer any additional questions.

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