Underwriting Medical Advisor

4 weeks ago


Jakarta, Indonesia Allianz Indonesia Full time

**Responsibilities**:

- Serve as the primary 24/7 medical advisor for complex cases, offering expert guidance to the medical hotline department, and address escalated cases and advise on clinical decisions in Medical Hotline team
- Perform and oversee medical utilization review processes to ensure medically necessary and cost-effective services.
- Collaborate with healthcare providers to ensure appropriate utilization management practices.
- Resolve complex claims disputes and escalations.
- Manage and guide cost containment team members, developing skills and providing leadership as the team grows.
- Create training programs for continuous improvement.

**Job Requirements**:

- Expertise in medical terminology, treatment protocols, and clinical decision-making.
- In-depth knowledge of utilization review processes, including familiarity with guidelines and decision tools
- Strong understanding of health claims management, including coding, documentation, and compliance.
- Excellent command of the English language for professional communication, both written and spoken.
- Strong ability to present complex medical and utilization review concepts to diverse audiences, including internal teams and stakeholders.

66833 | Physicians | Professional | Non-Executive | Allianz Indonesia | Full-Time | Permanent

The Allianz Group is one of the world’s leading insurers and asset managers with more than 100 million private and corporate customers in more than 70 countries.

**We are proud to be the Worldwide Insurance Partner of the Olympic & Paralympic Movements from 2021 until 2028.**

Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer.

Together we can build an environment where everyone empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

**Join us and together, let’s care for tomorrow**

**Job Level**:

- Professional

**Location**:

- Jakarta, ID, 12980

**Area of Expertise**:

- Physicians

**Unit**:

- Allianz Indonesia

**Employing Entity**:

- PT. Asuransi Allianz Life Indonesia

**Job Type**:

- Full-Time

**Remote Job**:

- Hybrid working

**Employment Type**:

- Permanent

**ID**:

- 66833

**Position Cluster**:

- Non-Executive


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