VACANCY: Medical Service Advisor– Egypt
For a Multinational Insurance Company
Experience: 0-2 yrs
Language: Excellent English Language is a MUST !!
Job Purpose:
To provide excellent service to members, group secretaries, intermediaries and providers reflecting agreed business service standards for all queries and complaints received by telephone, letter, email, member visits or fax
Requirements:
• 12 months experience within a servicing environment or similar is preferable.
• A third language other than English and Arabic is desirable
• Medical knowledge is required.
• Excellent problem solving and prioritisation skills, with close attention to detail and initiative are essential, together with the ability to make sound business decisions.
• Recognise and challenge possible fraudulent information and proactively seek to clarify and resolve using best method of communication and initiative.
Duties:
• Deal with members’ telephone enquiries, evaluate the situation and apply business criteria and detailed knowledge of Company International products to make appropriate decisions.
• The team member will be expected to take ownership and seek to resolve queries from our members, Intermediaries, group secretaries and providers via letter, fax, emails, telephone calls and face to face contact.
• The team member will be expected to establish and develop effective relationships by managing a regional portfolio of business customers.
• Provide support to other Company International offices/departments to overcome cultural and language barriers.
• Take responsibility for ensuring that the system records reflect up to date communications with external and internal customers so that the enquiries are documented and record to high standard.
• Liaise with Care Management (UK), Health Services, and International Claims department where appropriate.
• Liaise with the clinicians and medical policy team to make appropriate decisions regarding preauthorization requests
• To provide feedback and recommendations for business improvements on preauthorization processes and procedures. To monitor the effect of any recommendations.
• To investigate statements of out-standing accounts from Egyptian participating hospitals.
• Always providing the customers with clear information and suitable advice which takes account of their circumstances
• The team member may be asked to take part in visits to Intermediaries or groups. The team member must be able to handle challenge during these visits and be able to deliver on any promise made to the intermediary or group.
• The team members may be required to provide training and support to intermediaries including the use of our websites.
• Taking charge of tracking lost cheques and request reissue of payments.
• Deal with claims queries or adjustments and tracking claims’ payments.
• Coordinate with Service Partners to set medical treatment appointments for members seeking treatment internationally.
• Acting as a main channel of communication between other Company Egypt departments and members, intermediaries and providers
• Supporting the claims teams in Egypt and Brighton to request medical reports from members, brokers or providers.
INTERESTED? PLEASE SEND UR RESUME in word format CV@blue-cons.com and put “Medical Service Advisor” in the subject line!
############## WARNING ##################
Please don’t send your resume if it is irrelevant to the above OPPORTUNITY. If you insist, to send your resume, please PUT your CURRENT TITLE in the subject line, otherwise, Your Resume WILL GET DISCARDED.
