Clinical Specialist Advisor

Clinical Specialist Advisor

Cairo, Egypt

Hybrid working options

Permanent

Full time - the role will require flexible working hours as the team operates on 24/7 shift basis

Here you’ll be welcomed. We champion diversity and we understand the importance of our people representing the communities and customers we serve. You’ll find an inclusive environment where you can be yourself and where everyone is driven by the same purpose - helping people live longer, healthier, happier lives and making a better world.

Bupa Global is the international health insurance division of Bupa. We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad.

Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.

Role Overview

As Clinical Specialist Advisor, you will provide clinical advice and assistance with the delivery of the final clinical reviews as needed to support other internal stakeholders including complaints and underwriting teams.

What you’ll do:
- Attend regular meeting with underwriting department and with Private Client Group key stakeholders in the continued development and improvement of the linked processes.- Be accountable for Clinical Medical policy review, assist in Support Point update, and support the BI policy development if needed.-
- Using extensive knowledge and through evidence-based reference, evaluate medical information and determine the clinical eligibility for medical care, and maintaining both best practice and cost-effectiveness.- Identify, develop and comply with quality criteria for the clinical case and claims management and the business in general including the registration of complaints and ensure appropriate feedback is given and corrective action is taken.- Ensuring that the electronic records reflect up to date medical information, clinical decision, advice, and communications with the member.

What you’ll bring:
- Qualified Doctor with license the practice in Egypt is a requirement- Specialism in Haematology would be preferred- Previous experience, preferably in international private medical insurance or in an administrative capacity within a hospital environment.- Strong Arabic and English, both written and verbal. Additional languages would be an advantage.- Strong numerical skills and the ability to understand and produce financial reconciliations- Knowledge of private hospital industry and its pricing and quality dynamics.- Track record of achieving targets with a consistent high level of quality.- Ability to liaise with different teams and at different management levels- Good team player. Willing to support and advise colleagues- Actively search for and attend relevant training courses.- Flexible - ability to learn new skills and adapt to changing working practices/dynamics and environment and demonstrate a willingness to change- Ability to be empathetic and view issues from the customers perspective while maintaining a professional outlook- Skilled in communication, able to liaise with doctors, hospitals, brokers, members, and colleagues- Ability to work under pressure and on his/her initiative.- Good influencing skills with confidence and ability to challenge appropriately- PC literate- Organises own work effectively, works independently with mínimal guidance.- Effective decision making and investigatory skills

Time Type:
Full time