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China Life Insurance · 黑龙江省, 哈尔滨市

# 医疗审核岗

黑龙江省, 哈尔滨市 

Listed on China Life Insurance’s official careers site. Posted May 11, 2026. Check that it is still open and apply there.
[Apply on China Life Insurance’s careers site →](https://chinalife.zhiye.com/social/detail?jobAdId=07e28618-7254-4cd9-b9dc-f4ce9d82e669)

[OpenNash Jobs](https://jobs.opennash.com/) / [China Life Insurance](https://jobs.opennash.com/companies/china-life-insurance/) / 医疗审核岗

## Job description

### 一、医疗费用审核（核心）

负责车险、意外险、责任险等人伤案件的医疗费用审核，包括病历、诊断书、费用清单、检查/化验报告、伤残鉴定报告等，剔除不合理、非必要、非医保费用，确保费用真实合规。审核住院天数、治疗方案、用药合理性、误工/护理/营养期（三期） 时长，杜绝过度诊疗、挂床住院、虚开费用。核对伤残等级、后续治疗费、康复费等医学相关赔偿项目，确保与伤情及标准一致。

### 二、案件定损与方案制定

审核人伤案件估损金额、定损项目的准确性，结合查勘/跟踪信息核定合理赔付金额。制定赔偿预案、调解/诉讼医学意见，指导前端理赔岗处理，提供专业医学支持。复核重大/疑难/超权限案件，出具审核意见并按权限上报。
- 本科及以上学历；
- 具有保险公司人伤案件处理等相关工作经验3年及以上，或具备医院诊疗科室相关工作背景；
- 取得医师或法医资格证书人员优先；

### 须通过总公司组织的人伤岗位人员入职考试（备注
- 分公司在党委会上会审批前，需就拟招聘人员上报总公司归口管理处室，并参加总公司组织的岗位人员入职考试，通过考试后，方可进入入职审批上会流程）；
- 无因违法违规遭受监管部门或就职公司处罚的情况。

## At a glance
- Posted by the employer: May 11, 2026
- First seen by OpenNash: Oct 19, 2026
- Last checked: Oct 19, 2026
- Listed for: 161 days
- Location: 黑龙江省, 哈尔滨市[Apply on China Life Insurance’s careers site →](https://chinalife.zhiye.com/social/detail?jobAdId=07e28618-7254-4cd9-b9dc-f4ce9d82e669)

## More jobs at China Life Insurance

### [业务管理岗（省公司）](https://jobs.opennash.com/companies/china-life-insurance/jobs/ab0932fabc187703c74b/)

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### [业务部经理（外呼团队长）](https://jobs.opennash.com/companies/china-life-insurance/jobs/4063736949a6135ad7d2/)

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### [人力与综合行政岗](https://jobs.opennash.com/companies/china-life-insurance/jobs/f725947997a799cab640/)

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### [人力发展岗（巴彦）](https://jobs.opennash.com/companies/china-life-insurance/jobs/2e88bc2d199d07f8db5e/)

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### [农险专员（香坊）](https://jobs.opennash.com/companies/china-life-insurance/jobs/000ea33c2999f58d6faa/)

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