Medical Claims Consultant

Prudential Assurance UK

Valid medical license in singapore
Review complex medical reports
Assess claims validity and necessity
The role involves reviewing complex medical reports and diagnostic results to ensure the integrity and accuracy of claims decisions

Job Summary

  • The role involves reviewing complex medical reports and diagnostic results to ensure the integrity and accuracy of claims decisions.
  • Candidates will represent the claims team in adjudication disputes and participate in industry-wide medical discussions regarding integrated shield plans.
  • The position requires advising on policy wordings and contributing to the development of consistent critical illness definitions aligned with medical advancements.

Matching Summary

The role involves reviewing complex medical reports and diagnostic results to ensure the integrity and accuracy of claims decisions.

Skills & Requirements

Must-have

  • Valid medical license in Singapore
  • Review complex medical reports
  • Assess claims validity and necessity
  • Ensure compliance with policy definitions
  • Collaborate with legal and underwriters

Nice-to-have

  • Experience in insurance claims assessment
  • Knowledge of ICD coding systems
  • Strong written and verbal communication
  • Ability to work independently
  • Interest in fraud prevention

Key Requirements

  • Minimum 5 years clinical experience
  • Basic medical degree (MBBS or equivalent)
  • Valid medical license/registration in Singapore

Work Rights

Must have valid medical license in Singapore

Tailored Resume

Cover Letter