Customer Service Advisor

SeeMeHired.com; Bristol; On-site; GBP 20,000 - 25,000; Full time

Job summary

SeeMeHired.com is seeking a Customer Service Advisor to support our member treatment plans in the private medical industry. This role is perfect for individuals who excel in customer service and have an ability to work well under pressure. As a Member Advisor, you will ensure members receive the appropriate medical information and access to services while working closely with healthcare professionals. Experience in the private medical insurance sector is advantageous but not necessary.

Qualifications

• Experience in customer service required.
• Strong command of English, verbal and written.

Responsibilities

• Coordinate member treatment plans and liaise with healthcare teams.
• Take calls related to claims and arrange care with the medical team.
• Monitor and ensure appropriate treatment for members.

Skills

Decision making skills

Verbal and written communication

Attention to detail

Problem solving skills

Commercial awareness

Job description

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! We are looking for candidates who can start with us early July.

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.

PERSON SPECIFICATION

We are looking for an individual who can deliver great customer service and who has strong command of the English language, both verbal and written.

In addition, we are looking for:

• 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.

About the role

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

About the company

All around the world, Healix safeguards people's health and wellbeing.

Required Criteria

• Do you have Customer Service Experience?
• Do you have a good command of the English language?

Desired Criteria

• Do you have medical claims handling experience?

Skills you'll need