Medical Review Specialist

1 day ago

Sydney, New South Wales, Australia beBeeAnalyst Full time $125,340 - $142,605

Job Overview

TAL is seeking a qualified medical professional with experience in clinical practice to join our team as a Medical Officer. The ideal candidate will have expertise in reviewing underwriting applications and claims, providing medical insights and analysis to stakeholders.

Responsibilities:

  • Conduct timely reviews and provide feedback on individual underwriting applications and claims related to medical factors.
  • Offer efficient recommendations concerning medical information, considering customer experience, regulatory compliance, and business requirements.
  • Support liaison with treating parties and reinsurers on specific cases when required.
  • Represent the Medical Team in business engagements with assigned business units.
  • Provide insights and data on health-related factors observed during medical reviews to identify opportunities for continuous improvement.
  • Engage effectively with TAL's Chief Medical Officer on complex medical matters and consult with external medical specialists when necessary.
  • Analyse medical data to support pricing assumptions when required.

Requirements:

  • Expertise in clinical practice and medical review processes.
  • Strong analytical and problem-solving skills.
  • Effective communication and interpersonal skills.
  • Ability to work in a fast-paced environment and meet deadlines.
  • Experience working with medical professionals and other stakeholders.

Benefits:

  • Opportunity to work with a reputable insurance company.
  • Competitive salary and benefits package.
  • Professional development opportunities.

Additional Information:

  • The Medical Officer will be responsible for conducting medical reviews and providing feedback to underwriters and claim staff.
  • The ideal candidate will have experience in clinical practice and medical review processes.
  • They should also have strong analytical and problem-solving skills, effective communication and interpersonal skills, and the ability to work in a fast-paced environment.
  • Previous experience working with medical professionals and other stakeholders is highly desirable.

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