Clinical Services Advisor

Job Position: Clinical Services Advisor
Job Description: Now Health International & Best Doctors Insurance - Dubai - To provide professional clinical and network management support to colleagues and customers throughout the Middle East and Africa region including input on clinical underwriting, medical advice for complex or high value claims and identifying/reporting any worrisome clinical trends. Liaise with members, healthcare providers and other third parties to pre-certify treatment (both routine and emergency), apply appropriate cost containment measures, and co-ordinate local and regional provider direct settlement networks. Review individual and group member applications referred internally by our Policy Administration, Sales or Underwriting teams Review medical questionnaires and reports of applicants in order to provide clinical underwriting decisions Handle pre-certification of out-patient, day-patient and in-patient treatments by co-ordinating treatment needs with the benefits offered in the insurance plan. Actively participate in our on-call rota system with Clinical Services colle... - Permanent - Full-time
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