Medical Advisor

• Respond to telephone inquiries about company products or services using standard scripts and procedures.
• Ensure calls are answered within predetermined time scales and handled to high customer-service standards.
• Answer inbound calls and assist customers and providers with specific inquiries.
• Make outbound follow-up calls for cases, additional medical reports, second medical opinions, and complaints.
• Build customer interest in company services and products.
• Provide personalized customer service.
• Update databases with changes and customer/member status.
• Document telephone conversations and actions taken.
• Correspond with the Care Centre Team Leader and Assistant Manager.
• Maintain records, close-loop calls, complete clerical duties, and liaise with other departments.
• Analyze problems and develop logical solutions within the permitted scope of work.
• Adjudicate pre-approval claims exceeding standard turnaround time.
• Issue Guarantee of Payment (GOP) documents as required.
• Follow Nextcare policies, schemes, and agreed client communication/update time frames.

Explore Medical Care Advisor at Allianz. Review requirements and application details.