Overview
Join to apply for the Customer Service Advisor role at Healix Health.
Location: Three Temple Quay, Temple Back East
We are looking for a candidate to start on 13 October. If you have a notice period that would prevent starting on that day, please wait to apply at a future date.
About the Role
As a Member Advisor you will coordinate member treatment plans, liaise with all members of the healthcare team and the member, and ensure the member receives appropriate medical information and access to required medical services. This is a role where good customer service skills are key, and you are not required to have medical qualifications.
Responsibilities
* Taking calls from clients, providers and specified members in relation to initial and/or ongoing claims
* Obtaining medical evidence from providers to substantiate claims decision/treatment
* Dealing with queries related to clinical treatment or pre-authorisation requests
* Arranging care with the appropriate medical team/facility
* Ensuring treatment delivered is relevant and appropriate by monitoring ongoing treatment plans for members
* Negotiating provider fees within Healix Reasonable and Customary fees as part of cost containment for clients
* Ensuring all documents are correctly allocated on Case Management System
* Assisting the Case Managers with high cost claims where required
Knowledge and Skills / Qualifications
* Strong customer service skills and excellent command of English (verbal and written)
* Decision making skills and the ability to use own initiative
* Diplomatic, open communication style (verbal and written)
* High accuracy and attention to detail; ability to work under pressure
* Ability to work independently and as part of a team
* Good problem solving and analytical skills
* Commercial awareness with the ability to consider the bigger picture
* Ability to engage with clinicians, assess information, and act appropriately on outcomes
* Awareness of new technology or developments in the industry to anticipate related queries
Previous experience in the private medical insurance industry and claims processing would be an advantage.
About The Company
Healix Health provides UK employee healthcare benefits, and travel, medical and security assistance globally. The aim is to help people in difficult situations—whether facing a cancer diagnosis, needing medical help away from home, or being affected by conflict or natural disaster. We coordinate and support patients to ensure they receive the necessary help.
We focus on practical, human-centered service. Our teams include doctors, nurses, travel and medical coordinators, and security experts, supported by technology designed to assist individuals. We work with governments, NGOs, international corporations, major insurers and more.
We value initiative, development opportunities, and a supportive team culture. Healix offers benefits and an environment where people truly care.
Required Criteria
* Do you have Customer Service Experience?
* Do you have a good command of the English language?
Desired Criteria
* Do you have medical claims handling experience?
Details
Closing Date: Friday 10 October 2025
Contract Type: Full-time
Salary: From £27,000 per year
#J-18808-Ljbffr