Entreprise:
MSH TUNISIA
Secteur: banque / finance / assurances
Taille: Entre 20 et 100 employés
Secteur: banque / finance / assurances
Taille: Entre 20 et 100 employés
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 a subsidiary of SIACI SAINT HONORE.
SIACI SAINT HONORE is one of the European leading providers of brokerage and consulting services in the insurance market. SIACI SAINT HONORE designs and develops customized solutions for its corporate clients.
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.Description de l'annonce:
MSH INTERNATIONAL is a leading worldwide provider of Healthcare insurance solutions, a subsidiary of SIACI SAINT HONORE group with 5 regional head offices in Calgary, Paris, Dubai, Shanghai and Tunis currently looking for:
Precertification Administrator
Responsibilities:
1- To Review pre-authorization and referral requests for medical appropriateness by using established clinical protocols to determine the medical necessity of the request.
2- To Handle medical queries received from both insured members and client companies..
3- To advise on complicated pre-authorization cases falling outside the bounds of normal authorization protocol and guidelines.
4- To foster an ongoing relationship with the world wide medical team.
Requirements:
1- Degree in any medical field: anesthesia, obstetrics, nursing...etc
2- Solid medical experience in TPA or insurance background is an advantage.
3- Proficiency in both French and English is mandatory.
4- Excellent computer skills including Excel, Word, and Internet use.
