Customer Service Specialist
3 days ago
Healix is a leading provider of employee healthcare benefits and travel assistance services. We help people in difficult situations by providing support and guidance through our highly trained specialists.
We are seeking a skilled Member Advisor to join our team. As a Member Advisor, you will be responsible for coordinating member treatment plans, liaising with all members of the healthcare team, and ensuring that members receive the necessary medical information and access to required medical services.
The ideal candidate will have excellent customer service skills, a strong command of the English language, and previous experience in the private medical insurance industry and claims processing. A competitive salary of £27,000 and a range of benefits including health insurance, vacation time, and opportunities for career development are offered in return.
About the Company:
We work with governments, broadcasters, NGOs, international corporations, major insurers, and more. No two clients are the same: we adapt our services to their needs. We focus on ensuring our highly trained specialists have the space and time they need to be effective.
Responsibilities:
- 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
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