Preauthorisation Case Manager (Medical Insurance)

TL;DR

Preauthorisation Case Manager (Medical Insurance): Managing medical treatment preauthorisation and benefit reservations for global members with an accent on policy eligibility and stakeholder coordination. Focus on assessing coverage, handling complex queries across digital channels, and ensuring efficient case resolution.

Location: Remote (UK markers present: Royal London pension and Bupa dental)

Company

hirify.global provides international private medical insurance services to clients across the globe.

What you will do

• Manage end-to-end preauthorisation requests and verify eligibility against policy terms.
• Coordinate between members, healthcare providers, and internal Medical and Claims teams.
• Provide customer support via phone, email, and digital portals.
• Monitor treatment plans and costs, providing regular updates on ongoing cases.
• Maintain precise records in the claims system and prioritize workload to meet service standards.
• Escalate high-risk or sensitive cases to the appropriate internal teams.

Requirements

• Strong written and verbal communication skills with a professional, empathetic approach.
• Proven organizational skills and high attention to detail.
• Ability to handle multiple priorities in a fast-paced environment.
• Proficiency in Microsoft Office 365.
• Experience in customer service, insurance, healthcare, or claims (desirable).
• Additional language skills in German or Spanish (desirable).

Culture & Benefits

• Fully remote working environment.
• Structured training and continuous professional development.
• Comprehensive health benefits including Bupa dental and Health Shield cash plan.
• Financial security via Royal London pension and death in service benefit.
• Comprehensive travel insurance.
• Paid volunteer days to support causes that matter to you.