MEDICAL EXPERT | MADRID, ES

Medical Expert We are seeking a highly qualified and experienced Medical Expert to join our dynamic Health team at Alllianz.
he Medical Expert will play a crucial role in product development, define & manage underwriting policy (establishing criteria, managing exceptions, assessing pre-existence) Providing medical support for product design, overseeing third party operations, and handling all medical topics within the health insurance domain.
What are you going to do in Allianz? • Product development.
• Collaborate with health product managers in market analysis, product development and launch of new products • Provide medical criteria for product coverages (e.
.; medical techniques and services, medical coverages update, medical cost analysis...).
• Collaborate with Technical area for cost and pricing analysis • Medical assessment for Underwriting • Define standard underwriting guidelines and establish underwriting criteria based on medical assessments.
• • Responsible foranalyse and manage exceptions and pre-existing conditions to standard underwriting guidelines.
• Collaborate with underwriting teams to ensure accurate risk evaluation.
And to determine impact on coverage.
• Provide recommendations for complex or atypical cases.
• Third Party Providers' Management.
• Oversee and manage day-to-day health-related services for policyholders.
• Collaborate with healthcare providers to ensure effective operations.
• Collaborate with Operations area for providers management & cost analysis and control • Medical Incidence Handling.
• Investigate and assess complex medical incidences reported by policyholders.
• Provide expert guidance on the resolution of medical issues.
• Collaboration and Communication.
• Collaborate with cross-functional teams including underwriting, claims, product development and customer&Marketing • Communicate effectively with internal stakeholders and external partners.
What does Allianz need from you? • Medical degree from an accredited institution.
• At least 5 years of experience in medical underwriting or a related field.
• Strong understanding of insurance industry practices and regulations.
• Excellent analytical and decision-making skills.
• Ability to communicate complex medical concepts to non-medical stakeholders.
• Deep medical expertise, ideally in insurance company or similar.
• High level of energy.
• Analytical thinking and problem-solving.
• Strong decision-making abilities.
• Excellent communication and interpersonal skills.
• Attention to detail and accuracy.
• Ability to work collaboratively in a team environment.
What does Allianz offer you? • A hybrid working model; • Offices that adapt to your needs, with a smart working model and collaborative spaces; • Flexible hours so that you can have a good balance between your personal and work life; • Specific training in your field of activity and You Learn We Pay program; • Multiple employee discounts in sports centers - mens sana in corpore sano; • Financial compensation for lunch and teleworking expenses; • Special prices in our insurance products for you and your family; • Many more benefits...
| Gestión de Productos | Profesional / Senior | Non-Executive | Allianz Spain | Jornada completa | Indefinido Did you know that we have additional benefits for employees with disabilities and/or those who have an immediate family member with a disability? You just need to present your certificate, and you will have access to them (by simply showing your certificate, you will receive a bonus of € in your first paycheck).