MEDECIN CONSEIL DE DIRECTION H/F
Core
Evaluate medical risks, control medical claims, and design health insurance products for an insurance company.
Role type
Senior medical underwriter and product strategist
Builds
Health insurance products and medical control procedures
Domain
Insurance / Healthcare
Required skills
Medical risk assessment, claims adjudication, product design, regulatory compliance, medical report writing, network management, data analysis
Preferred skills
Public speaking, stakeholder influence, continuous improvement methodologies
Technologies
Medical information systems, claim management software
Responsibilities
Conduct medical examinations and analyze medical files for underwriting and claims; Define and implement medical control missions; Evaluate and improve the quality of the medical provider network; Participate in the creation and evolution of insurance products; Draft and sign medical correspondence regarding pathologies and treatments.