Auditor Doctor

Our client is seeking an Auditor Doctor responsible for the medical review, clinical validation, and cost management of international travel assistance cases. The role ensures that treatments, hospitalizations, evacuations, and repatriations are medically appropriate, evidence-based, and compliant with policy terms and international standards

Key Responsibilities:

• Medical Review & Case Assessment: Validate travel medical cases (treatment, hospitalization, evacuation, repatriation), assess necessity, and provide clinical recommendations; escalate complex cases
• Cost Control & Compliance: Ensure adherence to clinical guidelines and policy terms, review high-cost cases, validate invoices, and identify over-treatment or billing issues
• Coordination: Liaise with international providers and internal teams; support medical input in provider discussions and negotiations
• Governance & Quality: Support clinical protocols, audits, peer reviews, and ensure regulatory and ethical compliance
• Reporting: Maintain documentation and produce reports on case trends, costs, and clinical risk

Requirements

• Medical Degree (MD or equivalent) and valid license
• 5–10 years clinical experience
• Strong clinical judgment and analytical skills
• Understanding of international healthcare systems
• Ability to balance quality of care and cost efficiency
• Strong communication skills (written and verbal)
• Autonomous decision-making in high-pressure environments
• Fluent in English

Desirable Skills

• Background in Emergency Medicine, Internal Medicine, General Practice, Anesthesiology, or Critical Care
• Experience in Travel/Tropical Medicine
• Experience in medical assistance, insurance, utilization review, or claims
• Familiarity with international healthcare coordination
• Additional language skills an advantage

Benefits

• Hybrid options
• Health Insurance
• Company Discounts