- Postes vacants:
- 1 poste ouvert
- Type d'emploi désiré :
- CDI
- Experience :
- 1 à 3 ans
- Niveau d'étude :
- DESS, DEA, Master, Bac + 5, Grandes Ecoles
- Rémunération proposée :
- Confidentiel
- Langue :
- Français, Anglais, Arabe
- Genre :
- Indifférent
Description de l'emploi
Responsibilities:
1. Processing precertification requests for the assigned portfolio
2. Coordinating between administrators for approvals according to policy terms and conditions.
3. Handling pre-approval from Healthcare providers and clients.
4. Referring insured members to a second opinion when required.
5. Managing requests according to authority limits and report suspected fraud cases to supervisors.
6. Replying the insured members inquiries about procedures to be followed or status of their pre-certification file via telephone, fax, e-mail or intraqual workflow.
7. Ensuring the best customer service to providers, insured, coordinators, brokers by providing 24 hours helpline.
8. Reporting any complaint encountered to precertification supervisor or manager
Exigences de l'emploi
Requirements:
1- A Degree of a dentist is a must and completed with success.
2- Experience in the medical field or in the insurance industry is preferred but not compulsory.
3- Good communication skills in English and French, another language will be an advantage.
Date d'expiration
08/01/2021