Summary
Overview
Work History
Education
Skills
Registrations
Personal Information
Professional Development
Timeline
Generic
Rocellawati Jamaluddin

Rocellawati Jamaluddin

Senior Medical Advisor
Ampang

Summary

A trusted, patient focused and experienced doctor with 19 years of experience in treating patients by successfully diagnosing, treating and also managing their illnesses and diseases. Highly motivated, passionate, disciplined, confident and goal-oriented. Easy going by nature and possess strong communication and people's skills. Able to work on own initiative and as a team player in an integrated multi-disciplinary environment as an all rounded doctor. I am adventurous and keen to explore new possibilities in my career. A certified Occupational Health Doctor by NIOSH and had experienced handling occupational related illness and injury by providing TOPSITE support and services via telemedicine consultation. The experiences and knowledge that I gained throughout my 19 years career in various healthcare sectors will definitely be an added value to AIA Healthcare in achieving your mission and vision. I am looking forward to drive the growth of healthcare business especially on Employee Benefits and Wellness and alignment of the business with technology in Malaysia's because, technology is the way forward, especially in this post pandemic era. At the moment my core responsibility is ensuring affordability all across book of business in Cigna Healthcare.Besides, I am taking care of clients such as World Bank and Asian Development Bank. I also do providers visit and in 2024, I have visited hospitals in Dhaka, Bangladesh, Port Moresby, Papua New Guinea, Jakarta & Denpasar in Indonesia and Bangkok, Thailand. Having connected with providers around Asia has equipped me with relevant experiences to become the specialists in insurance industries.

Overview

19
19
years of professional experience
10
10
years of post-secondary education

Work History

Senior Medical Advisor

CIGNA INTERNATIONAL
08.2020 - Current
  • Responsible to manage the medical team (nurses, doctors) in the Malaysian office
  • Provides medical management services to customers worldwide and support the wellness operation
  • Provides evidence-based advice on medical claims, taking into account internationally accepted protocols and local and/or regional customs and regulations
  • Provides support and monitor the case management, disease management and other clinical and wellness services
  • To ensure the quality of performance against QA standard to promote optimal service delivery
  • To ensure accurate statistical data and reports pertaining to daily services provided
  • Assist in Fraud detection
  • Assist in establishing unit objectives and determine performance standards and goals that are consistent with customer requirements and operational objectives for a global service delivery environment
  • Utilizing excellent analytical skills to compile and present summaries of health and wellness management activities in a professional format to the appropriate internal or external entities
  • Working together with the Operations team on overall quality improvement and clinical management projects
  • Point of reference and resource/educator in the clinical areas
  • Implementation of appropriate educational clinical programs content for internal and external audiences

Clinical Analyst

SD GLOBAL TECHNOLOGIES
01.2019 - 03.2020
  • Perform application demo and walkthrough
  • Perform business requirement study/analysis for clinical and clinical support analysis
  • Assist in business process re-engineering and related activities
  • System set-up and configuration- creation of clinical/nursing notes types, forms and charts
  • Data management- compilation, verification and loading
  • Perform system testing on newly developed clinical functionalities and modules
  • Prepare user guides and training manuals
  • Conduct end-user training
  • Participate in functional testing and user acceptance testing
  • Provide subject matter expertise and guidance for clinical, nursing and allied health domain requirements
  • Provide expertise in Business Intelligence data

Head of Claims

GREAT EASTERN TAKAFUL BERHAD
05.2016 - 01.2019
  • Responsible for the overall management of Claims Unit, including, but non exhaustive, the performance of the Unit in meeting turn-around time, productivity, accuracy, regulatory compliance and requirements, reporting, etc
  • Responsible for the management and development, including training, of the resources (claims and underwriters team members)
  • Responsible for working with my immediate supervisor and the Senior Management Team of GETB to meet the company's target and business objectives
  • Responsible to look into process improvement or system enhancement to improve efficiency and effectiveness of claims processing
  • Responsible to share medical knowledge with Claims Unit, New Business Unit and any other units in terms of providing medical training and CMEs
  • Responsible for planning of the department's yearly budget

Medical Advisor

INTERNATIONAL SOS
09.2013 - 04.2016
  • Providing TOPSITE Support to major Oil and Gas clients in Malaysia
  • As a Medical Advisor, I provide support to the offshore medics in managing injuries and illness offshore
  • This includes providing recommendations for Medical Evacuation (MEDEVAC)
  • Besides TOPSITE support, I organize and supervise appropriate professional medical assistance for Intl SOS clients
  • This includes obtaining medical reports, organizing referrals, monitoring the patient's condition, recommending appropriate means of MEDEVAC, and monitoring the progress of a medical transport
  • Recommend the appropriate method of transportation, necessary medical escorts, medical equipment and medical support necessary for air/ground medical evacuation/repatriation
  • Visit Intl SOS patients/clients in hospitals as per necessary
  • Assist in the maintenance and upgrade the standards and checklist of the Intl SOS escort equipment available in Malaysia
  • Medical escorts when required for appropriate medical cases
  • Assist in the management of local Aircraft charter providers and their service and safety standards
  • Together with the marketing Team participate in promoting Intl SOS services
  • Attended meetings with clients in order to provide better understanding to clients on the medical services provided by Intl SOS
  • Conduct Site Health Reviews
  • Assist in reviewing implementation of all Emergency Procedures for Intl SOS sites in Malaysia
  • Conduct medical audits and write reports as per Intl SOS's specifications
  • Providing health talk/health promotions to the client
  • Provide training to the medics before deployment
  • Provide CME to the Claims and Underwriters to improve their medical knowledge
  • Wrote a Protocol on Examining a Female Patient offshore to be used internally
  • Set up a flow chart on Pain Management for patients offshore

General Practitioner

KL CLINIC
03.2012 - 08.2012

General Practitioner

KLINIK SEGARA
05.2010 - 02.2012

Medical Officer

GENERAL HOSPITAL KUALA LUMPUR
01.2008 - 04.2010
  • Medical Officer, Psychiatry Department, Neurology Institute [Jan 2008-Apr 2010]
  • Medical Officer, Pediatric Institute [Jan 2008- Dec 2008]

Medical Officer

TUANKU JAAFAR HOSPITAL
08.2005 - 12.2007
  • Medical Officer, Emergency Department [Nov 2006- Dec 2007]
  • Housemen, Orthopaedics Department [Aug 2005- Nov 2005]
  • Housemen, Obstetrics and Gynaecology Department [Dec 2005-Mar 2006]
  • Housemen, Medical Department [Apr 2006-July 2006]
  • Housemen, Surgical Department [Aug 2006-Oct 2006]

Education

MASTERS DEGREE - Community Health (sub-specialization in Occupational Health)

NATIONAL UNIVERSITY OF MALAYSIA
01.2015 - Current

Bachelor - Medicine Bachelor in Surgery

INTERNATIONAL ISLAMIC UNIVERSITY OF MALAYSIA

Skills

Subject Matter Expert

Registrations

43246, HQ/13/DOC/00/350

Personal Information

Date of Birth: 01/25/80

Professional Development

  • Insurance Training, MunichRe Underwriting and Claims Course, Managing Your People Issues The Right Way, Hannover Re Claims Training, Brain BASED Leadership Training (Iclif Leadership Center), 2018
  • Medical Courses, Advanced Trauma Life, International SOS Medical Escort Training, Advanced Cardiac Life Support, Infection Control Course, Updates on dengue Fever, Stress Management Course, Cognitive and Behavioural Therapy Courses, Sarawak Mental Health Symposium, Paediatrics Advanced Life Support, 2010
  • Occupational Health Courses, SHELL Remote Health Care Course, ExxonMobil Incident, Illness and Hazard Loss (IIHL) Reporting Guide, ExxonMobil Offshore Orientation, Asia Remote Site Health Conference, Certified Occupational Health Doctor, OSHA (1994), 2014
  • Leadership Courses, ESQ Leadership Seminars- Mission Statement, ESQ Leadership Seminars- Character Building, 2013
  • Offshore Courses, BOSIET, HUET, Hydrogen Sulphide Safety Course, 2013
  • Presentation, PROVIDING MEDICAL ASSISTANCE GLOBALLY-The International SOS Experience, MANAGEMENT OF FEMALE PATIENT OFFSHORE- Asia Topside Meeting, Singapore, OFFICE EMERGENCIES- Petronas Finance Division, 2013
  • Write up, Protocols of Examining Female Patients in a Remote Site, Pain Management for Patient Offshore, Site Health Review in Johor for Hershey's Plant, Site Health Review in Lumut and Ipoh for GE Oil and Gas Fabrication Yard, Workplace Assessment for Operation Coordinators in International SOS, 2013

Timeline

Senior Medical Advisor

CIGNA INTERNATIONAL
08.2020 - Current

Clinical Analyst

SD GLOBAL TECHNOLOGIES
01.2019 - 03.2020

Head of Claims

GREAT EASTERN TAKAFUL BERHAD
05.2016 - 01.2019

MASTERS DEGREE - Community Health (sub-specialization in Occupational Health)

NATIONAL UNIVERSITY OF MALAYSIA
01.2015 - Current

Medical Advisor

INTERNATIONAL SOS
09.2013 - 04.2016

General Practitioner

KL CLINIC
03.2012 - 08.2012

General Practitioner

KLINIK SEGARA
05.2010 - 02.2012

Medical Officer

GENERAL HOSPITAL KUALA LUMPUR
01.2008 - 04.2010

Medical Officer

TUANKU JAAFAR HOSPITAL
08.2005 - 12.2007

Bachelor - Medicine Bachelor in Surgery

INTERNATIONAL ISLAMIC UNIVERSITY OF MALAYSIA
Rocellawati JamaluddinSenior Medical Advisor