Health Insurance Expert
CurrentWork with medical insurance products and insurance programs:- Analyzing medical documentation: conclusions after specialists' appointments, hospital discharges, laboratory and instrumental methods of treatment.- Determining the insurable nature of the case.- Analysis of clinical recommendations, standards of medical care, treatment protocols, international guideline with orientation on the principles of evidence-based medicine.Interaction with clinics:- Work with financial registries and nosoprescription lists.- Interaction with representatives of clinics: employees of contractual and economic departments, employees of VHI departments of clinics, heads of departments in hospitals.Full support in organizing hospitalizations:- Selection of clinics for planned and emergency hospitalizations- Organization of specialist consultations in clinics on the basis of inpatient departments, necessary pre-hospital and additional examinations- Coordination of the scope of medical care within the framework of inpatient care, organization of stay and treatment in clinicsInteraction with clients (insured):- Communicating with clients in chat and by phone- Explanation of information on insurance programs, their content- Working with objections and complaints- Working with VIP clients- Maintaining a CSAT average above 4.5.Working with the technology environment:- Working in CPM systems, databases, Wiki, IP telephony- Skills in Excel, Google Sheets, Trello, mattermost, NotionTranslated with www.DeepL.com/Translator (free version)