Director – Medical Claims and Underwriting

Director – Medical Claims and Underwriting

JOB DESCRIPTION:

The Director of Medical Claims and Underwriting is a consulting role, a senior level position reporting to the SVP.  Excellent salary/consulting opportunity for a senior level medical provider with insurance claims/underwriting experience.

 

This individual will:

 

• Act as the Medical expert and render final decisions on medical claims and underwriting applications.
• Work closely with senior management and external physician practices in the resolution of complex, enterprise-wide medical claims in areas such as strokes, cancer, heart attacks and kidney failure.
• Assure the Company is in compliance with all federal, provincial and local laws.
• Conduct periodic teaching conferences for underwriting and claims adjusters on medical topics of interest.
• Assist in the formulation of life, health and disability insurance policies from a medical perspective.

 

REQUIREMENTS:

• Medical Degree.
• Licensed to practice in Canada
• Board Certified or eligible in Internal Medicine.
• Ability to read and interpret EKG’s, lab reports, stress tests, echocardiograms, etc.
• Ability to communicate effectively with all levels of employees and management.

Please forward resume to [email protected]