Medical Doctor/Nurse - Medical Services & Case Management (KL-Based)

Allianz Partners is a worldwide leader in international health and medical assistance within Allianz Group. We turn complex situations into coordinated care—so members receive safe, appropriate treatment wherever they are. Join our Global Medical Services team to amplify your clinical impact beyond hospital walls.

This KL‑based, non‑bedside role focuses on applying medical judgment to complex, high‑impact cases and championing cost‑effective, evidence‑based care. Partnering with global medical leadership and diverse teams, you’ll help shape decisions and pathways across local, regional, and global contexts in an office‑based setting.

Note: This role will be employed under Allianz Partners Malaysia (AWP SERVICES SDN BHD)

What you’ll do

• Case manage high-cost/complex cases, ensuring appropriate, safe, and cost-effective care
• Conduct pre-authorizations for inpatient treatment and review medical claims
• Lead clinical adjudication and negotiate fair, evidence-based care plans and costs
• Provide internal clinical consultation to Care Operations, Underwriting, Actuarial, and Medical Provider Management (MPM) team
• Build and maintain effective relationships with providers, brokers, and clients (in collaboration with MPM)
• Partner with global medical decision-makers to align on best practice and outcomes
• Contribute to clinical guidelines, process improvements, and knowledge sharing
• Ad hoc duties aligned to the Medical Services function
• Note: Training and onboarding support will be provided. No regular travel required.

Who you are

• Medical or Nursing degree with at least 2 years of clinical experience (ER exposure advantageous)
• Registered medical doctor or nurse; an active clinical practice license is not required for this role.
• Strong clinical judgment with the ability to balance medical appropriateness and cost-effectiveness
• Healthcare insurance/assistance or managed care experience is an advantage
• Negotiation skills and experience engaging with hospitals/providers are a plus
• Fluent English; Malay, Mandarin and/or Cantonese are beneficial. Other languages are a plus
• Proficient with Microsoft Office and comfortable with digital tools
• Eligible to work in Malaysia

Working pattern and location

• Hybrid: 3 days in office, 2 days WFH
• Work 5 days/week within a 7‑day operation (07:00–22:00). Typically 4 weekday office‑hour days (Mon–Fri, 09:00–18:00) and one late shifts weekly.
• You must be able to rotate to early/late, weekend, and public holiday shifts as needed. Two consecutive days off per roster.
• Office: UOA CENTRE OFFICE, KLCC

What success looks like (6–12 months)

• Consistent delivery of safe, medically appropriate, and cost-effective case outcomes
• Strong partnerships with providers and internal stakeholders; trusted clinical advisor in APAC
• Visible contribution to playbooks, pre-authorization quality, and high-value claim oversight

AI READINESS

Work effectively in an environment shaped by artificial intelligence (AI), machine learning, data analytics and cloud-based tools, using insights responsibly with our standards of data governance, security and ethical use.

What we offer

Our employees play an integral part in our success as a business. We appreciate that each of our employees is unique and has unique needs and ambitions, and we enjoy being a part of their journey.

We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged.

Caring for your health and wellbeing is a key priority for us. This is why we build Work Well programs to providing you with peace of mind and give the flexibility in planning and arranging for a better work-life balance

If you’re excited about the role but don’t meet every single requirement, please apply—we value potential, learning agility, and diverse experiences.

98351 | Physicians | Professional | Allianz Partners | Full-Time | Permanent