Customer Relationship Manager / Medical Direction
Translated automatically from the original posting.
JSC "Risk Management and Insurance Company Global Benefits Georgia" is announcing a vacancy for the position of Customer Relationship Manager.
JSC "Risk Management and Insurance Company Global Benefits Georgia" is an innovative risk management and insurance company that offers customers a variety of insurance products and international standard services.
For more information about the company, please visit the following link: www.benefits.ge
Address: 0108 Tbilisi, R. Lagidze st. №8 Working hours: up to 40 working hours per week
Main duties and responsibilities: - Service of insured persons according to the company's service standard; - Telephone consultation of insured persons; - Providing detailed information to clients about receiving services, coverage, and provider network; - Organization of medical services in provider and non-provider clinics within Georgia (and abroad, if contractually covered and requested); - Organization of family doctor consultations / home visits; - Coordination and management of insurance cases; - Creation of applications for medical services in the electronic system (software) within the delegated procedures; - Ensuring delivery of applications to provider clinics via email; - Requesting authorization for applications; - Providing insured persons with reasoned, argued responses regarding rejected / unauthorized applications, indicating the source; - Coordination and control of the process of requesting, authorizing, and delivering applications to the addressee; - Receiving and processing medical documentation provided by insured persons via email, creating requests for guarantee letters, and written confirmation of receipt of documentation; - Providing information on confirmed guarantee letters to addressees with relevant comments and references to decision-making sources; - Providing written, argued responses in case of claims; - Communication with clinics to request documentation when it is incomplete; - Providing insured persons with information on contract terms, exceptions, and explanations of refusals; referral to the claims service if necessary; - Monitoring received services (in case of home doctor or ambulance calls) according to standards; - Supporting insured persons in filling out applications (including claims forms) and ensuring submission to the committee, monitoring the process; - Periodic reporting of own activities to the direct supervisor; - Discussion and timely resolution of problematic cases, as needed;
Requirements: - Higher medical education; - Mandatory work experience in the insurance field, in a similar position; - Knowledge of computer office programs;
What we offer: - A work environment rich in interesting challenges and opportunities for professional growth; - Comfortable working conditions; - Interaction with one of the most experienced and friendly teams; - Opportunities for personal and career growth; - Fixed remuneration and quarterly KPI and result-based bonuses; - Health insurance; - Unlimited talk time; - One free working day per quarter (Day Off) after successful completion of the probationary period; - Company-paid maternity leave; - Cash compensation of 500-800 GEL in special cases;
If interested, please click on the link and send your resume: https://benefits.selfrecruit.ge/s/FooXW
Good luck!
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