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Clinical services support specialist

Irish Life Health
Service
Posted: 22h ago
Offer description

Hybrid role based in our Dublin City Centre or Cork Office
What we offer
We have embraced a hybrid working model for most of our positions, which means that you can enjoy a balanced approach of working from home for part of the week and working from the office for the remainder of the week.
We offer a comprehensive benefits package including competitive salaries and bonuses, robust Learning and Development support, excellent Defined Contribution pension and comprehensive Wellbeing initiatives and support to name but a few. Further details on our benefits package can be accessed here Benefits (life-careers.com)
Irish Life Health provides Health Insurance to over 500,000 people across Ireland both directly and through Corporate schemes. Our Vision is to help people live healthier lives and we focus on providing access to healthcare solutions that will help our customers do this.
Role Overview
Irish Life Health is seeking a Clinical Services Support Specialist to join our expanding team.
As a key department in our organization, the Clinical Services team are responsible for managing relationships with our clinical providers, managing claims costs and the development of new services to deliver value and exceptional service experiences to our members.
In this exciting and diverse role, you will work closely with our Clinical Benefits providers, including Digital Doctor, Nurse On Call and Back-Up to assist with service development. Reporting to the Clinical Services Vendor Specialist, you will have the opportunity to grow your career, enhance your existing skills, and gain exposure to other aspects of the business.
Key Responsibilities

Liaising with clinical third-party provider queries (Nurse on Call, Back-Up physiotherapy programme, Digital Doctor etc.).
Overseeing the Back-Up physiotherapy network.
Reporting of monthly activity, service performance, logging Dept. invoices and tracking invoice payments and responding to member queries.
Managing the Clinical Benefits team inbox i.e. responding to queries from other internal Depts., our Clinical Benefits providers and liaising with our Claims Depts. to follow up on queries when required.
Carrying out service quality checks e.g. test calls on a routine basis.
Assisting with any compliance, legal, risk activities.
Working with Compliance to complete DPIA’s on new initiatives.
Supporting the Proposition and Future of Health teams on new benefits.
Liaising with the Risk team and documenting risk events.
Attending provider governance meetings as required.
Review of complaints/feedback and highlighting service issues to be addressed.
Liaising with other Depts. to request any relevant changes to our Clinical Benefits providers services such as document and website changes.
Provide support to the broader Clinical Services team on annual ad-hoc projects and administrative tasks

Qualifications

A relevant third level specialist qualification.
2 years’ experience working in a customer service or support role would be advantageous but not essential.
Eager to learn new skills.
Experience in the health insurance market and dealing with third party/clinical providers.
Ability to build and maintain positive relationships with internal and external stakeholders.
Excellent communication skills.
Strong attention to detail.
Proficient in MS Word, Excel and PowerPoint.
Flexibility to attend occasional onsite meetings in our Cork or Dublin offices.
A passion for delivering excellent customer service and improving member experience.

Irish Life Health supports Equal Opportunity and is regulated by the Central Bank of Ireland.
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