Senior Medical Doctor (Clinical Case Management) (KUALA LUMPUR, Federal Territory of Kuala Lumpur, MY)

Allianz
Kuala Lumpur
Workplace: HybridFull timeFunction: Government & Public AdministrationExperience: 5+ yearsEducation: professionalSkills: ["Clinical judgment","Cost containment","Mentoring","Quality assurance","Relationship building"]

Apply clinical expertise to complex international health insurance cases for inpatient pre-authorisation and high-cost case management. Serve as a subject-matter expert on policy terms, manage medical evacuations and repatriations, and lead cost-containment coaching. Support monthly clinical audits, meet SLAs, handle Emergency Committee cases, and provide clinical consultation to internal teams. Mentor clinical colleagues and drive process efficiency and quality improvements while building relationships with brokers, clients, and medical providers.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
Allianz
Allianz
1 day ago

Senior Medical Doctor (Clinical Case Management) (KUALA LUMPUR, Federal Territory of Kuala Lumpur, MY)

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 7 hours agoStatus: Live

Job Summary

Apply clinical expertise to complex international health insurance cases for inpatient pre-authorisation and high-cost case management. Serve as a subject-matter expert on policy terms, manage medical evacuations and repatriations, and lead cost-containment coaching. Support monthly clinical audits, meet SLAs, handle Emergency Committee cases, and provide clinical consultation to internal teams. Mentor clinical colleagues and drive process efficiency and quality improvements while building relationships with brokers, clients, and medical providers.
Location: Kuala Lumpur
Workplace: Hybrid
Employment Type: Full time · Permanent
Job Function: Government & Public Administration
Seniority: Mid level

Key Responsibilities

  • •Lead pre-authorisation of inpatient treatments and manage complex, high-cost cases.
  • •Serve as subject matter expert for standard and tailored international health insurance policy terms.
  • •Manage medical evacuations and repatriations, and identify cost containment opportunities.
  • •Conduct and support monthly clinical audits, maintain audit scores, and meet SLA requirements for medical claim reviews.
  • •Provide clinical consultation to internal teams, handle Emergency Committee cases, and drive process efficiencies and quality controls.

Pay and Benefits

Perks:Health InsuranceEpf

Key Requirements

  • •Medical degree (MBBS, MD, or equivalent) and qualified medical doctor status.
  • •Minimum 5 years of post-graduate clinical experience, with ER or internal medicine background preferred.
  • •Strong clinical judgment balancing medical appropriateness and cost-effectiveness.
  • •Ability to mentor junior clinical colleagues and lead quality assurance processes.
  • •Fluent English; Malay, Mandarin, and/or Cantonese is a plus.
Experience:5+ yearsInternational health insuranceMedical assistanceManaged care
Education:Professional (JD, MD, etc.)
Skills:Clinical judgmentCost containmentMentoringQuality assuranceRelationship building
Languages:EnglishMalayMandarinCantonese

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Allianz
Global insurance and financial services group offering property-casualty insurance, life and health insurance, asset management, and corporate risk solutions to individuals, businesses, and institutions across more than 70 countries.
Industry: Insurance
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Munich, Germany
Founded: 1890
WebsiteLinkedIn