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Medical Services Advisor

Company Name: Allianz Partners
Employment Type:Full Time
Location: UAE
Experience: 3+ years
Degree: Bachelor
Gender:Any
Age:Any  
Nationality: Any
Salary:Unspecified
No. Of Vacancies:1
Job Description:
The International Health line of business provides international health, life and disability insurance and services, reinsurance and administration services to a wide range of customers. These include multinational companies, intergovernmental organisations (IGOs), non-governmental organisations (NGOs), private individuals, families and students. Our mission is to ensure that customers have access to quality healthcare through our support, care and commitment to go the extra mile. We are a truly global health partner for our customers, ensuring fast and simple access to the best advice, treatment and value for our customers.

Main Responsilibities: 
Provide case management for complex and/or high value cases and report progress weekly to head office.
Discuss member treatment plan with the treating medical team  and audit treatment costs/invoices to ensure maximum cost containment.
Develop and maintain relationships with key clients and provide support to member families where required.
Provision of Treatment Guarantees to members in accordance with the identified procedural guidelines.
Support the department’s efforts to achieve cost containment and achievement of the targeted loss ratio.
Assist with the maintenance and expansion of the panel of medical providers. This includes the development of financially advantageous contractual relationships with these providers. The emphasis will be upon delivering competitive volume pricing, procedure pricing, package pricing, fixed discounts expressed as a percentage of the final bill etc.
Assist with the development of a panel of clinicians in locations justified by concentrations of Allianz Care members.
Ensure that all existing operating service standards are consistently met and devise strategies to improve these further.
Develop and maintain good working relationships with all departments and support them according to their needs.
The role will involve substantial collaboration with the following departments:  Claims, Helpline and remote offices.
Any other ad hoc projects and administrative tasks as and when required.

Minimum Requirements: 
Bachelors Degree in Nursing is a must
Minimum 3 years’ experience in UAE within Insurance 
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills