As a physician within an Appeals and Objections department, you will work with fellow physicians, occupational experts, and legal professionals within a results-oriented team. The first year largely focuses on the internal basic training in insurance medicine, under the supervision of an occupational health specialist. Time is allocated for clients and for reaching well-considered judgments, as well as for developing advisory and communication skills and motivating decisions.
After successfully completing the basic training, it will be jointly determined whether the training to become an occupational health specialist will be continued. The work-life balance is good, with regular office hours and the possibility of partially working from home. You will report to the manager of the Appeals and Objections department.
What you will do.
- Re-evaluating the assessment in which the physician in the primary process has expressed their view on the client's capacity for work.
- Handling medical aspects of objection cases and (higher) appeal cases within the relevant legislation and jurisprudence, taking into account the social context.
- Determining the medical condition, weighing various factors, and providing reasoned arguments on whether the capacity for work has been correctly established.
- Providing a re-evaluation of the medical aspects of the primary decision for objection, appeal, and higher appeal cases.
- Providing feedback/advice to physicians in the primary process to improve the quality of decisions.
- Being responsible for the medical part of the decision-making, under the supervision of the occupational health specialist.
What they ask
- Academic degree in medicine and a successfully completed medical examination recognized in the Netherlands.
- BIG-registered (Dutch healthcare professionals register).
- Involved with clients and passionate about the profession.
- Motivated to (further) learn the social security regulations.
- Able to weigh existing and new information and draw conclusions based on available information.
- Possess persuasiveness and decisiveness.
- Excellent oral and written communication skills.
- Able to adapt communication style to the situation.
- Preferably, experience in the field of insurance medicine, or demonstrable interest, for example, through an elective clerkship.
Profile
Within a government organization, the Appeals and Objections directorate is the department where clients can turn if they disagree with a decision made. When a client objects or appeals, the previously made decision is re-evaluated by looking at the client's situation again. The ultimate goal is to provide clarity to clients and ensure they receive what they are entitled to, with a solution where the client feels seen, heard, and helped.
Approximately 1,300 employees work in this department across the Netherlands in multidisciplinary teams on (complex) objection and appeal procedures.
How to apply
View the full assignment text and application details once your tailored application is ready.
Order a tailored application to view the full assignment and application details.
More context, less searching.
You get enough context to judge whether this job is relevant. The full brief, client details and next steps stay available inside the app.