Medical Case Assessor
The role we are hiring for
Be part of the Case Management team and you will have the opportunity to acquire in-depth knowledge in Healthcare and Insurance as you will be working closely with Specialists and Hospital groups!
- Assess inpatient case assignments and recommend your decision to approve or decline Letter of Guarantee or pre-authorization requests.
- Work closely with Specialists, Clinics and Hospital groups in relation to the Letter of Guarantee or pre-authorisation requests.
- Ensure any suggested treatment plans fall within policy terms and conditions.
- Maintain accurate case records and all related communication.
- Be exposed to data analytics tools as part of your assessment work.
- Any other special projects and ad-hoc duties assigned when appropriate.
- Open to entry level Diploma/Degree without experience, preferably within studies of Bio-sciences, Nursing or Statistics
- Experience in Healthcare/ Insurance/ Third-Party Administrators industries will be advantageous
- Ability to communicate clearly in both writing and verbally
- Ability to handle and mediate sensitive issues calmly, emphathetically and professionally
- Proficient in Microsoft Office applications