Medical Case Management and Compensation Manager

Insurance company "Unison" has been taking care of people's and businesses' financial security since 2011. Over the years, we have established ourselves as one of the leading companies in the Georgian insurance market, trusted by customers due to our professionalism, innovative approaches, and international partners' support.

We constantly develop products and services, implement modern digital solutions, and create the best experience for our customers.

If you want to work in an environment where initiative, professional development, and result-oriented work are valued, join the Unison team.

Insurance company Unison announces a vacancy for the position of Medical Case Management and Compensation Manager.

Main responsibilities

• Insured persons' reception and service: identification of the insured person, submission of documents if necessary, including settlement of cases within the delegation framework;
• Presentation of all necessary documentation: notification of considered cases' responses via email or phone;
• Identification of incompletely presented documentation by the insured person and detection of shortcomings, requesting additional documents on-site, as well as requesting additional documentation after consideration if necessary;
• Submission of documentation necessary for guarantee and its reflection in the program;
• Organization, classification, and systematization of considered documentation chronologically in relevant folders;
• Issuance of referrals for outpatient services and medications, electronically, considering the contract terms;
• Issuance of referrals for specialized consultations, laboratory and instrumental examinations, and medications with or without a prescription, based on diagnosis, complaints, and contract terms;
• Sending referrals to provider clinics electronically;
• Assistance to the insured person in booking a visit if necessary (to a family doctor, specialized doctor, or for examinations) and activation of travel insurance;

Qualification requirements

• Higher education in the medical field;
• At least 1 year of experience working in the same field;
• Knowledge of computer office programs;
• Knowledge of Russian and English languages.

Personal skills

• Responsibility;
• Attention to detail;
• Communication skills;
• Ability to work in a team and individually;
• If you are interested in the vacancy, please upload your resume.

We will contact only the selected candidates for an interview.

Interested persons, please respond to the announcement using the "Respond (on another website)" button.

Good luck!