Medical Advisor

Job Description

Title: Medical Advisor

Company Name: Medilink Global Bangladesh Ltd

Vacancy: 01

Age: At least 25 years

Job Location: Dhaka

Salary: Negotiable

Experience:

• At least 3 years
• The applicants should have experience in the following business area(s): Insurance, Software Company, IT Enabled Service

• Bachelor of Medicine and Bachelor of Surgery(MBBS)

• At least 3 years
• The applicants should have experience in the following business area(s): Insurance, Software Company, IT Enabled Service

• Age At least 25 years

• Provide medical inquiries / investigations for Health Insurance Claims.

• Provide medical advice / recommendation for Health Insurance Claims

• Provide training related to medical terms and Critical Medical Cases to Claims and Customer Service Executives.

• Provide medical claims analysis for statistical report purpose.

• To maintain relationship with respective clients.

• Processing of Cashless Requests & Health Insurance Claim Documents.

• Proficient with medical terms & system.

• Understanding of Policy terms & conditions & Various Protocols / Guidelines of Corporate Health Insurance.

• Understanding of Claims adjudication / Claims Processing.

• Maintaining & Ensuring Standard Operating Procedures & Protocols.

• Disease Wise ICD & Procedure Coding.

• Manage volumes effectively & efficiently to maintain Turnaround time of processing cases.

• VIP Claims Processing and TAT Maintenance (If any)

• Processing Error to be maintained. Identify improvement areas and propose ideas to improve operational efficiency, team morale within Claims & Customer Service Department scope of operation.

• Claim Case Management / Cost Management.

• Regular Correspondence with treating Doctors of Hospitals for any clarification.

• Assist Head of Clams & Customer Service in the business planning and execution for service enhancement in line with Companies strategic and business priorities.

• Any other tasks and responsibilities that is assigned by Management.