Description

Duties include: Preauthorization of in-patient and outpatient treatment. Aggressive cost containment through tight adjudication, correct evaluation of medical appropriateness and successful negotiation. Case management of complex cases. Manage bed to bed evacuations and repatriations. Support medical advice and provider information services. Support implementation of all tailored services. Maintain relationships with brokers/clients/providers and ad hoc duties and to support a 24 x 7 service to our Clients. The candidate must have a Nursing qualification, Previous clinical nursing experience. Experience within in the insurance industry, ideally in healthcare and negotiation experience, strong Knowledge of Microsoft Office (Excel, Word), Completion or progression towards the Diploma in Private Medical Insurance.

Skills Requirements

The candidate must be Customer focused, Strong communication (verbal & written), Ability to work effectively within a team environment, Honesty and Integrity, Ability to work under pressure, Ability to work on own initiative, Highly motivated and proactive, Results driven and solution orientated.

Email
elaine.ocarroll@allianzworldwidecare.com