Medical Director for Life InsurancePru Life UK • Taguig, Metro Manila, Philippines
Medical Director for Life Insurance
Pru Life UK • Taguig, Metro Manila, Philippines
1 day ago
Job descriptionAccurate, consistent, and timely results and customer service rendered by accredited medical service providers Improved turnaround time in processing medical cases for new business, after-sales, and claims Readily available medical examiner for clients required to undergo Full Medical Exam (FME) Attained SLAs and standards for the network of accredited medical examiners No risk and compliance issues arising from the network of accredited medical examiners Good claims experience – complete details of current medical condition and medical history of client provided to NBU Manage the review and accreditation of qualified medical service providers nationwide (e.g., clinics, examiners, laboratories) to support medical risk assessment of submitted new business and applicable after-sales cases. Conduct regular performance reviews of accredited medical service providers to ensure attainment of service level agreements and quality of examination results. Monitor and validate related fees and charges paid out to the network of accredited medical service providers. Develop and implement process improvement and quality control initiatives to ensure consistency, accuracy, and high quality of customer service and examination results provided by accredited medical service providers. Perform Full Medical Examinations (FME) for prospective customers through comprehensive interview and medical assessment of the proposed insured and policy owner, if applicable, based on guidelines and processes set by the Head of NBU. Provide timely and accurate assessments of new business, after-sales, and claims medical cases. Perform all medical-related activities for employees (consultation on simple medical cases and emergency-related conditions) in close coordination with the company nurse and HRD. Ensure compliance matters are identified and reported to the Line Manager and Compliance Officer in accordance with reporting requirements operated within the work unit and the Company. Ensure adherence of the work unit to compliance and risk management standards, including installing a risk culture within the team and completing risk-related requirements.
Medical Director for Life Insurance
Pru Life UK – Taguig, National Capital Region, Philippines
1 day ago – Be among the first 25 applicants
Key Functions
- Review, accreditation, and quality control of medical service providers
- Supports NBU in gathering information for medical analysis to determine eligibility for insurance
Desired Outcomes
Success Metrics
Job Accountabilities
Seniority Level
Director
Employment Type
Full-time
Job Function
Consulting
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Medical Director • Taguig, Metro Manila, Philippines
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