Care advisor job details in Muscat
The job sits in the Care Centre of Nextcare Oman, within the Allianz Partners unit and the Operations area, at Professional level. It is a permanent, full-time position. The advisor stays in regular contact with the Care Centre Team Leader and Assistant Manager, and the ad also asks for a customer-centric culture to be promoted within the centre.
Responsibilities
- Handles inbound calls from customers and providers, working from scripts and procedures and within defined service levels
- Places outbound calls for case follow-ups, collection of medical reports, second opinions and complaint management
- Logs each interaction and the action taken, closes calls properly and coordinates with the relevant departments
- Keeps member records current and accurate in the system
- Reviews and processes pre-approval cases that run past standard turnaround times
- Issues Guarantee of Payment (GOP) documents when needed to support patient care
- Weighs issues carefully and offers logical solutions within the defined scope of authority
- Follows Nextcare’s communication and update standards, scheme requirements and agreed turnaround times, and uses AI, machine learning, data analytics and cloud-based tools within data governance, security and ethical-use standards
Requirements
- Strong communication skills in English
- Good understanding of customer service principles and telephone etiquette
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint), with general internet navigation and research skills
- Physical fitness to carry out the duties
- Legal permission to work in the country of operations
Preferred qualifications
- Medical background
- Exposure to TPA hospitals or medical centers
- Additional languages beyond English
About Nextcare
The employing entity is Nextcare Oman, part of the Allianz Partners unit of Allianz Group, which describes itself as one of the world’s most trusted insurance and asset management companies.
How to apply
Candidates can apply using the button below on Allianz’s careers site, where the posting carries job ID 101755.
Apply through the employer's link: careers.allianz.com
Apply for this jobApplying is free and goes directly to the employer.