Pbtb Assistant Manager, Medical Management

2 weeks ago

Kuala Lumpur, Malaysia Prudential plc Full time

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Together with Medical Management team, to serve as a comprehensive unit to provide medical input in all areas in the company.

Join a dedicated team focused on improving the healthcare delivery and quality within the takaful sector. Be part of a dynamic environment where your expertise can make a real impact.

Key responsibilities:
a) Medical support across the company
- Assist assessors in managing complex cases on daily basis, including handling medical referrals and detecting potential
- Provide medical input & expertise to other departments such Product development, health awareness initiatives as required

b) Establish and review guidelines
- To review & update the Claims and Underwriting Guidelines to ensure current industry standard are met
- To assess and review new technologies and procedures.
- Provide medical training to the Operations to ensure knowledge is up to date

c) Medical Quality Review
- Conduct audit to assess the technical capabilities & quality of the Operations
- Support the managers in the provider review to ensure adherence to medical standards

d) Panel Clinic & health partnership Management
- Oversee of appointment, termination and auditing the panel clinics
- To ensure that panel clinics maintain good quality and compliant to the medical & regulatory standard

Together with Medical Management team, to serve as a comprehensive unit to support medical business in all areas in the company.

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