المستشار الطبي

MSH INTERNATIONAL is a leading worldwide provider of Healthcare insurance solutions. With offices located in strategic places around the world including Calgary, Paris, Shanghai and Dubai, we are focused on providing high quality services that meet the needs of our large and diverse global client base. We recognize the importance of our human resources to achieve these goals, so we are looking for outstanding candidates to fill this position.
The candidate we are looking for will be responsible:
• Review and handle pre-authorization and referral requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request.
• Handle medical queries received from members and client companies
• Provide medical opinion to other departments
• Medical advice concerning big complicated cases.
• Responsible for quality of customer service provided to insured members and internal and external partners, as per contract provisions.
• Foster an ongoing relationship with the world wide medical team; seeks input, opinion or advise from theses resources as appropriate.
Knowledge, Skills and Abilities
• Ability to work well with all levels of management and staff while maintaining a professional and diplomatic demeanor
• Excellent written and verbal communication skills
• Excellent interpersonal skills
• Ability to prioritize and integrate a proactive approach to assignments
• Ability to request assistance as needed
• Strong technical aptitude with the ability to quickly learn and adjust to new systems
• Strong analytical, problem solving and decision making skills
• Effective organizational and time management skills
• Proficiency in written and verbal English required, bilingual English/French
Education and Experience
• MBBs degree
• Previous experience with insurance companies is desired.
• Working knowledge of MS Office
If you are interested in this position and have the required qualifications, please send your resume to recruitment@mena.msh-intl.com