Treatment Guarantee and Pre-Certification Officer

As an International Health Insurance Consultant – Treatment Guarantee and Pre-Certification Officer, your key responsibilities will include:

Key Responsibilities

• Reviewing and assessing health insurance claims for international healthcare services, ensuring compliance with policy terms, conditions, and regulatory requirements.
• Analyzing medical reports, invoices, and supporting documents to determine claim eligibility and coverage levels.
• Processing and adjudicating claims with accuracy and efficiency, adhering to established procedures.
• Communicating with insured individuals, medical providers, and stakeholders to gather additional information or clarifications, ensuring timely and accurate resolution.
• Issuing Treatment Guarantee Documents to Providers and Insured Persons as per the guidelines established for Treatment Guarantee.
• Managing complex claims, including those related to chronic illnesses, pre-ex...