Medical Doctor -#34860

Company Profile:

Our Client is a global leader in insurance solutions for seafarers and their families. Headquartered in Bergen, Norway, with an Operations Team based in the Philippines, the company goes the extra mile to deliver innovative crew insurance solutions for the maritime industry. It is committed to developing best-in-class risk management tools designed to enhance crew attraction and retention in a cost-efficient and truly global manner.

Established in 2006, Our Client is a wholly owned subsidiary of the Norwegian Hull Club—one of the world’s largest marine insurers, with a history dating back to 1837. The Norwegian Hull Club’s vision of “Expect More” is embedded in the organization’s culture, enabling clients to hold the same high expectations for service quality, product excellence, and industry expertise.

Today, Our Client is recognized as a market leader in crew insurance solutions, with a clear objective of improving safety at sea by fostering loyalty and well-being on board.

Duties and Responsibilities:

• Medical and claims personnel management for employee satisfaction and wellbeing including occupational health and safety for better employee retention.
• Claims administration of medical claims for registration, approval / denial, reserve management, risk assessment, disability negotiations, payment of members and provider, and claim coding and archiving according to ICD10 Standards.
• Call centre support on adjudication, complaint handling, provider communication, and problem-solving for medical services.
• Medical plan reviews, SoB finalisation, and operational assessment of products to be sold by underwriting.
• Acting in-house physician to cater for the medical needs of all staff in the organisation.
• Leadership and Strategic support by implementing company mission, vision and core values by proper implementation of directives and setting an example

Authorities:

• Claim adjudication within our Authority from Underwriters
• Hiring / Firing of personnel in agreement with the President
• Approving days off and Signatory of absence for the team.
• Authorised to negotiate provider contracts on behalf of the company.

Requirements:
Must-Have Skills/ Qualifications:

• Here’s a more professional, clear, and polished version in bullet form:
• Must be a licensed Medical Doctor
• At least 5 years of experience as a Medical Practitioner
• Demonstrated interest in working within a combined medical and corporate environment
• Ability to apply medical expertise in both clinical and organizational settings.

Advantageous:

• Experience in the insurance industry is an advantage.
• Background with clinical evaluation.
• Certification in ICD 10 coding.
• Certification in Occupational Health and Safety.