Customer Service Advisor
Are you looking for a rewarding career in the private medical industry? Do you have excellent customer service skills and a passion for helping people? If so, you might be the perfect fit for our Member Advisor role!
As a Member Advisor you will be responsible for coordinating member treatment plans, liaising with all members of the healthcare team and the member, and ensuring that the member receives appropriate medical information and access to required medical services. This is a role where good customer service skills are key, and you are not required to have any medical qualifications.
Please note: start date for this role will be Monday, 15th June.
PERSON SPECIFICATION
- Decision making skills and ability to use own initiative.
- A diplomatic open style and approach, with excellent verbal and written communication.
- A high degree of accuracy and attention to detail and work well under pressure.
- The ability to work well both independently and as part of a team.
- Good problem solving and analytical skills.
- Good commercial awareness with the ability to make decisions with the “bigger picture” in mind.
- Ability to make effective contact with clinicians, accurate assessment of information obtained and acting appropriately upon the outcome.
- An overall external awareness of new technology or development within the industry to pre-empt and be prepared for possible related queries.
A good understanding and previous experience of the private medical insurance industry and claims processing, would be an advantage.
AS MEMBER ADVISOR, YOU WILL BE INVOLVED IN:
- Taking calls from clients, providers and specified members in relation to initial and/or ongoing claims
- Obtaining medical evidence from providers to substantiate claims decision/treatment
- Dealing with queries in relation to clinical treatment or pre-authorisation requests
- Arranging care with the appropriate medical team/facility
- Ensuring treatment delivered is relevant and appropriate by monitoring ongoing treatment plans for members
- Negotiating provider fees within the Healix Reasonable and Customary fees, as part of cost containment for clients
- Ensuring all documents are correctly and accurately allocated on Case Management System
- Assisting the Case Managers with high cost claims where required
Location:
Healix Health – Bristol, Three Temple Quay, Temple Back East, Bristol, England, City of Bristol, BS1 6DZ
Industry:
Consultancy
Job Type:
Full time
Salary:
From £27,000.00 Yearly to £28,000.00 Yearly
About Healix
We offer UK employee healthcare benefits, and travel, medical and security assistance in every corner of the globe. Our purpose is to help people in difficult situations – whether that’s a cancer diagnosis, a need for medical assistance when they’re far from home, or being caught up in conflict or natural disaster. We talk to them, support them, and make sure they get the help they need. If necessary, we’ll pull them out and bring them home.
We’re coordinators and problem-solvers: experts at navigating the global health and security landscape. Our teams of doctors, nurses, travel and medical coordinators and security experts make sure that your people will be looked after, whatever happens supported by technology designed help individuals, not slot them into a predetermined solution.
Our benefits
- Commitment to career development
- Health insurance
- Vacation, Paid time off
- Retirement plan and/or pension
- Office perks
- Employee development programs
- Employee discounts
- Gym membership or wellness programs
- Opportunity to travel
- Casual dress
- Cycle to work
- Free work laptop
- Referral bonus
- Open office
- Competitive salary
- Life insurance
- Employee Assistance Scheme
- Wellbeing Scheme
- Social Opportunities
- Progression opportunities
We want to nurture this friendly and dynamic company culture so that we can continue to attract diverse talent with a breadth of knowledge and world-class skills. As a part of Healix, you can expect a range of excellent benefits and an environment where people really do care.
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