Medical Officer

Medical Officer

20 Jan 2025
New Hampshire, Sydney 00000 Sydney USA

Medical Officer

As a Medical Officer at TAL, you will provide evidence-based reviews of customer medical information during underwriting and at the time of claim. Your role involves supporting and coaching claim staff and underwriters to interpret and obtain relevant, specific medical information for assessing new business applications or claims.As a subject matter expert with experience reviewing underwriting applications and claims, you will provide medical insights and analysis of information to a wide range of stakeholders across TAL. This includes supporting the review and development of medical definitions, processes, guidelines, training, and contributing to new health-related initiatives across the customer lifecycle.Key Accountabilities:Conduct timely reviews and provide feedback on individual underwriting applications and claims related to medical factors.Offer efficient, evidence-based recommendations concerning medical information or the need to seek medical information, considering customer experience, regulatory compliance, and business requirements.Support liaison with treating parties and reinsurers on specific cases when required.Represent the Medical Team in business-as-usual engagements with assigned business units, maintaining a good working relationship between the two departments.Provide insights and data on health-related factors observed during medical reviews to identify opportunities for continuous improvement and guide the health strategy for the aligned business unit and across TAL.Engage effectively with TAL's Chief Medical Officer on complex medical matters and, when necessary, consult with external medical specialists.Support the review and development of medical definitions, guidelines, and training as needed.Analyse medical data to support pricing assumptions when required.Collaborate effectively with other Medical Officers to manage workloads and implement activities that ensure efficient and effective medical support to stakeholders.Work with the broader Health Services team to guide health strategy across the TAL business, including preventative health, health support, health processes, and TAL's overall health proposition.Report and manage risks identified during day-to-day activities.

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