Clinical Specialist

Your clinical skills save lives. Now use them to protect millions more. As a Clinical Specialist Lead at Allianz Partners, you'll bring your clinical expertise into a role where every decision matters, evaluating emergency medical situations, identifying pre-existing conditions, and ensuring travellers in crisis receive the right care at the right time. This is your opportunity to step beyond the ward or clinic and into a leadership role where your clinical judgment shapes outcomes on a global scale, for Malaysia and Singapore, and across Allianz Partners' worldwide network.

This is a full-time, hybrid role based at UOA Centre, KLCC, Kuala Lumpur.

What You'll Do

Clinical Assessment & Claims Decision-Making

• Evaluate patient situations and apply clinical judgment to assess emergency medical assistance cases and travel insurance claims for Malaysia and Singapore.
• Identify pre-existing conditions and determine their relevance to claims outcomes in line with policy terms and clinical evidence.
• Act as the primary clinical and technical referral point and escalation owner for complex, high-cost, or clinically sensitive cases.
• Coordinate cross-border assistance and provider interactions to ensure quality care and cost control.
• Provide approvals within the claims authority limit; escalate with clear, evidence-based rationale.
• Manage customer feedback, inquiries, and complaints promptly and effectively within designated timelines, providing feasible resolutions through established processes and procedures.

Performance, Quality & Strategy

• Manage SLAs for partners and internal teams, leading the team to consistently meet or exceed agreed targets.
• Identify priorities in the claims function to increase efficiency and improve customer satisfaction.
  Manage claims performance and quality through OFR (Operational Functional Review) and CFR (Claims Functional Review) in collaboration with the Quality Assurance team.
• Own and manage the Claims Operation Strategy Plan actions.
• Contribute to operational improvement initiatives and departmental priorities.
• Represent Allianz Partners in partner relationship meetings and stakeholder discussions where required.

Leadership & Development

• Coach, oversee, and support a small team (1-2 direct reports); assist with hiring, onboarding, and training execution.
• Promote positive teamwork and collaboration, stepping in to support team members as needed.
• Execute training plans when required and participate in team projects and ad-hoc tasks as assigned.

What You'll Bring

• Minimum Diploma or Degree in a healthcare-related field. We warmly welcome applications from: Registered Nurses (RN/BN), Medical Doctors (MD), Medical Assistants, Paramedics, Other Allied Health Professionals
• Legal right to work in Malaysia.
• Minimum 3 years of relevant experience in clinical practice, emergency or acute care, or a medical claims environment.
• Confident, decisive decision-maker. You're comfortable acting on clinical evidence under pressure and standing behind your assessments.
• Strong clinical judgment with the ability to evaluate patient situations, identify pre-existing conditions, and deliver sound, evidence-based outcomes.
• Strong understanding of medical terminology, diagnoses, and treatment protocols.
• Prior team leadership, supervisory, mentoring, or coaching experience is an advantage, but not a requirement. If you're an experienced clinician ready to take your first formal leadership role, we'd like to hear from you.
• Insurance, travel assistance, or medical claims experience is beneficial but not mandatory. We provide full training on insurance and assistance processes, so your medical background is what matters most.
• Proven written and verbal communication skills in English; Mandarin is a plus.
• Proficient in Microsoft Office applications.
• Collaborative team player who treats colleagues with care and respect.
• Familiarity with AI-assisted clinical decision support, claims processing tools, or digital health platforms is an advantage.

Nice to Have

• Background in travel insurance or assistance operations.
• Experience in emergency or acute care settings.
• Experience engaging healthcare providers across Malaysia and Singapore.
• Exposure to pre-existing condition assessment or medical underwriting.

What We Offer

• A genuine career pivot. Bring your clinical expertise into a dynamic, global insurance environment with full training and support provided.
• Hybrid working arrangement, UOA Centre, KLCC, Kuala Lumpur, with flexibility to work from home.
• Competitive salary and performance-based bonus.
• Medical and hospitalisation coverage for you and your dependants.
• Annual leave in line with Malaysian employment standards, plus additional company leave.
• A large variety of learning courses and targeted development programmes, empowering you to grow professionally within Allianz's global network.
• Global career progression and international mobility opportunities across 76 countries.
• Work Well programmes designed to support your health, wellbeing, and work-life balance.

Who We Are

Allianz Partners is a world leader in B2B2C insurance and assistance, operating across 76 countries with solutions spanning travel, health, automotive, and lifestyle protection. Part of the Allianz Group, trusted by over 125 million customers in 70+ countries, our Kuala Lumpur hub is a key centre for APAC claims and operations.

We believe the best medical claims decisions come from people with real clinical experience, and we're committed to being part of your journey as you grow into a new chapter of your career.

106776 | Operations | Professional | Allianz Partners | Full-Time | Permanent

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges is what makes us a unique employer. We are united by a shared commitment: to put our customers first and at the centre of everything we do. Their needs inspire our thinking and guide our actions. Together, we can build an environment where everyone feels empowered and confident to explore, grow and shape a better future – for our customers and for the world around us. At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. The foundation for this is our inclusive workplace, where people and performance both matter, and where integrity, fairness, inclusion and trust are at the heart of our culture. We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.

 Join us. Let's care for tomorrow.

To Recruitment Agencies

We have an in-house recruitment team that focuses on sourcing great candidates directly. Therefore, we do not accept unsolicited resumes from agencies or search firm recruiters. When we do work with recruitment agencies, that engagement is formalized by a contract. Fees will only be paid when such a contract is in place. Without a contract, we will not accept invoices related to unsolicited resumes, even if the candidate is ultimately hired. Please do not contact hiring managers directly.