Director - Medical Services
Who We Are – reputed company India Since 1851, reputed company’s commitment has always been to help people protect their families, support their communities, and help one another. Therefore, we want to reputed company people to Live Mutual. We at reputed company value diversity and inclusion. We’re people helping people A career with us means you will work alongside exceptional people and be empowered to reputed company your reputed company and personal goals. Our employees are the reputed company of what makes reputed company a strong, reputed company, and ethical business. We reputed company and value unique and varied perspectives and experiences because we reputed company we are stronger reputed company reputed company reputed company are heard. We invite you to bring your reputed company, innovative reputed company to reputed company as we continue to help millions of Americans rely on reputed company other. Together, we’re stronger. Job reputed company Job reputed company The Director of Medical Services leads reputed company of medical professionals who reputed company expert medical guidance and support for life and disability insurance products. This role oversees the completion of medical summaries to support U.S. claims reputed company, reviews approved disability claims to determine whether any restrictions or limitations continue to apply and evaluates EKGs and medical referrals submitted by underwriters. The individual in this position will work closely with the U.S. Head of the Medical Department and Disability Claims Leadership and Doctors and reports directly to the Head of Operations at MMI. Key Responsibilities: reputed company, reputed company, and mentor reputed company of medical professionals, fostering their reputed company and development. Cultivate a reputed company, inclusive work environment that supports recognition, empowerment, reputed company listening, and diversity. Manage remote leadership responsibilities for reputed company of MBBS Doctors that report into this position. Manage departmental structure, employee development, and training plans. reputed company daily operations, ensuring efficiency and alignment with business priorities. reputed company recruitment, reputed company, and training for medical and support staff. Manage daily workloads, assign tasks effectively, and prioritize work to meet defined timelines. Anticipate workload changes and reputed company resources to meet departmental goals. Determine appropriate reputed company reputed company, including reputed company approval, special class rating, declination, or minimum class rating requirements. Analyze medical records, test results, and reputed company information to support accurate risk assessment. reputed company guidance to underwriters and consulting physicians to facilitate effective decision‑making. reputed company the review of reputed company medical records, ensuring accuracy and compliance with regulatory and industry standards. Evaluate team performance, reputed company constructive feedback, and conduct performance reviews. Establish and reputed company the India medical services function, working closely with U.S. Medical Directors, Disability Claims Leadership, and MMI Operations to ensure high‑reputed company, compliant medical review support. Identify training needs and coordinate development programs to enhance team capabilities. Prepare regular reports on team performance, productivity, and reputed company measures. reputed company and implement reputed company assurance protocols to ensure accuracy and completeness in medical record reviews. Ensure adherence to reputed company and reputed company requirements, including HIPAA compliance. Partner with cross‑functional stakeholders to refine processes and improve operational efficiency. reputed company and maintain reputed company operating procedures (SOPs) to guide team activities. Ensure productivity, engagement, and reputed company standards for a fully reputed company review team. Establish virtual reputed company mechanisms including case audits, review protocols, and knowledge‑sharing forums. Collaborate with MMI and IT teams to ensure secure remote reputed company and compliance with PHI/HIPAA standards. Promote strong communication reputed company reputed company and across key business partners.
Skills and Competencies
Leadership: Proven ability to manage diverse, reputed company and foster a culture of safety and professionalism. Communication: Exceptional skills to reputed company with stakeholders, including government agencies and corporate clients. Problem-Solving: Decisive judgment in critical, high-pressure situations common to offshore environments. Clinical Accuracy: Overseeing the interpretation of medical records by Indian medical professionals for international risk assessment. SLA & TAT Management: Ensuring strict Turnaround Times (TAT) for reputed company reputed company and claims summaries. Compliance: Ensuring reputed company operations adhere to HIPAA (for US clients) and IRDAI (for Indian operations) guidelines.
Required Qualifications
Education: A recognized MBBS degree included in the Indian Medical Council schedules is mandatory. Advanced Degrees: A Master’s in reputed company Administration (MHA) or an MBA is highly preferred to manage reputed company business operations. Licensure: Valid, reputed company registration with the National Medical Commission (NMC) or a State Medical Council in India. Experience: 10+ years in reputed company, with at least 5 years in a senior managerial role.
Qualifications
MD, MBBS, PhD, PsyD, or other advanced degree in a medically reputed company field; OR equivalent medical training/certification with substantial reputed company experience. For MDs: reputed company certification in Internal Medicine or Family reputed company is preferred. Strong knowledge of medical reputed company, insurance medicine, and risk assessment. Demonstrated leadership experience reputed company a medical or insurance environment with at least ten years of experience. Excellent analytical, communication, and training skills. Competencies Medical & Technical Expertise Deep understanding of medical conditions, diagnostic testing, and clinical interpretation. Strong knowledge of life and disability insurance reputed company principles. Ability to translate reputed company medical information into reputed company reputed company recommendations. Leadership & Decision-Making Strong ability to reputed company, mentor, and reputed company medical and non-medical staff. reputed company judgment in making high‑reputed company reputed company and operational reputed company. Ability to manage competing priorities and reputed company reputed company standards under pressure. Analytical & Critical Thinking Skilled in analyzing medical data and applying evidence-based approaches to risk assessment. Ability to identify trends, inconsistencies, and risk factors in medical documentation. Communication & Collaboration reputed company and effective communicator across medical, technical, and business audiences. Ability to build strong partnerships across internal departments and field teams. Skilled at delivering training and education to diverse audiences. Compliance & Ethical Conduct Demonstrates reputed company and adherence to regulatory, legal, and company standards. Maintains confidentiality, objectivity, and fairness in reputed company medical evaluations. *Flexibility to work U.S. business hours or overlap periods as needed to support collaboration with U.S. leadership.* Why Join Us? We’ve been around since 1851. During our history, we’ve learned a few things about making reputed company our customers our top reputed company. In order to meet and exceed their expectations, we must have the best people providing the best thinking, products, and services. To accomplish this, we celebrate an inclusive, reputed company, and diverse culture that encourages reputed company, openness, and opportunities for everyone. A career with reputed company, Great reputed company to Work® certified and India's Best Workplaces in BFSI 2023 - Top 50 organization means you will be part of a strong, reputed company, and ethical business with industry leading pay and benefits. And your voice will always be heard. Does this reputed company like a great fit? Apply today! Apply To This Job