Underwriting Medical Advisor

2 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


  • Assistant Manager

    2 days ago


    Jakarta, Indonesia Prudential Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Jakarta, Indonesia Chubb INA Holdings Inc. Full time

    Job Requirements Job Summary Responsible in managing the underwriting process and transactions by ensuring those process runs smoothly which are aligned with the policy/procedures/guideline and delivered within the expected turn-around-time Key Accountabilities Responsible in supervising own team’s underwriting activities (for NB or non - NB cases),...

  • Medical Advisor

    2 weeks ago


    Jakarta, Indonesia PT Asuransi Reliance Indonesia Full time

    Persyaratan Gaduated medical dokter profession usia < 35 tahun Memiliki STR aktif Pengalaman di TPA / asuransi sebagai medical advisor lebih di utamakan Tanggung Jawab - memberikan opini medis terkait perawatan medis peserta asuransi - membuat keputusan penjaminan suatu claim sesuai TC polis yang berlaku - melakukan investigasi medis dengan dokter yang...


  • Jakarta, Indonesia PERSOLKELLY Recruitment Indonesia Full time

    Persyaratan Minimum 3 - 4 years experience as Medical Underwriting at Life Insurance Company Minimum Bachelor's Degree or Professional Qualification from Medicine or Nursing Background. Have the ability to interact and communicate with people (in Bahasa Indonesia and English) Strong analytical Skill Excellent interpersonal skill. Tanggung Jawab End to End...

  • Medical Underwriter

    7 days ago


    Jakarta, Indonesia Zurich Insurance Full time

    Job Summary- To perform clerical tasks of moderate to high complexity for Life underwriters and Life underwriting support staff.- Job Qualifications- Required: - Minimum S.Ked - Experience with Medical Underwriting - Strong Microsoft Office skills - Excellent communication skills - Detail oriented - Ability to multi-task - Job Accountabilities - Key...

  • Senior Executive

    2 weeks ago


    Jakarta, Indonesia Prudential Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full time

    Job DescriptionWe are seeking an experienced Senior Executive Underwriter to join our team. The successful candidate will have a strong background in underwriting and risk management, with excellent analytical skills and a good sense of risk selection.Conduct initial underwriting and personal underwritingCheck completeness and validity of documents according...


  • Jakarta, Indonesia Aspen Medical Full time

    Aspen Medical seeks expressions of interest in IH Advisor for an upcoming opportunity for occupational and industrial health services. **Locations**: PNG, Fiji, Indonesia, Vanuatu, Malaysia, Vietnam, Philippines, Kiribati **Responsibilities may include; but not limited to**: - In support and in conjunction with senior IH staff provide guidance, support...


  • Jakarta, Indonesia Aspen Medical Full time

    Aspen Medical seeks expressions of interest in Occupational Health Advisor (OHA) for an upcoming opportunity for occupational and industrial health services. **Locations**: PNG, Fiji, Indonesia, Vanuatu, Malaysia, Vietnam, Philippines, Kiribati **Responsibilities may include; but not limited to**: - The OHA will undertake business and stakeholder...


  • Jakarta, Indonesia Sunday Insurance Full time

    PT Sunday Insurance Indonesia has over 20 years of insurance presence in Indonesia. Our business started back in 1988 as a local general insurer known as PT Asuransi Hastin Utama before changing its name to PT Asuransi Aegis Indonesia in 2001. The company was then acquired by KSK Group Berhad (then known as Kurnia Asia Berhad) in 2007 and was renamed to PT...

  • Assistant Manager

    2 days ago


    Jakarta, Indonesia Prudential Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Jakarta, Indonesia Prudential plc Full time

    Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...


  • Jakarta, Indonesia Prudential plc Full time

    Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...


  • Jakarta, Jakarta, Indonesia Prudential Hong Kong Limited Full time

    Senior Executive Underwriter (Sharia)Senior Executive Underwriter (Sharia)Apply locations Jakarta time type Full time posted on Posted 30+ Days Ago job requisition id 25020142Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and...


  • Jakarta, Indonesia Sun Life Full time

    You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...


  • Jakarta, Jakarta, Indonesia PT Prudential Life Assurance Full time

    Prudential's purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our...


  • Jakarta, Indonesia Prudential plc Full time

    Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...


  • Jakarta, Indonesia Prudential Full time

    Prudential's purpose is to help people get the most out of life. We will deliver our purpose by creating a culture in which diversity is celebrated and inclusion assured, for our colleagues, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and in exchange, we support our people's career...


  • Jakarta, Indonesia Prudential plc Full time

    Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support...


  • Jakarta, Jakarta, Indonesia Prudential Hong Kong Limited Full time

    **Underwriting Specialist Role**We are seeking a skilled Underwriting Specialist to join our team. In this role, you will be responsible for analyzing complex cases and identifying potential risks and opportunities for policy renewal.About the TeamYou will be part of a dynamic team that is passionate about delivering exceptional customer service and driving...