Global Case Manager

3 days ago

Singapore Bupa Full time

**Global Case Manager**

**Permanent**

**Full Time**

**Singapore**

**We make health happen**

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.

The primary goal of the Global Case Manager role is to evaluate and authorise clinical cases and complex medical preauthorisation and support our members during their treatment journey.

**You’ll help us make health happen by**:

- Investigating, and responding to enquiries for complex medical pre-authorization and high value claims from different internal and external shake holders including but not limited to members, providers, service providers and intermediaries in the appropriate method, in line with Bupa Global policy and management style
- Ensuring the correct interpretation of Bupa Global’s policies and rules is followed, using the appropriate coding system to process the data and information accurately
- Proactively negotiating medical cost based on evidences to achieve reduced cost to the business
- Proactively identifying fraud and/or abuse and reporting to appropriate parties
- Preparing documents and reports required for internal and external stakeholders in the scope of case coordination activities and/ or data collection
- Inputting clinical information into computer database, under the supervision of regional case manager

**Key Skills / Qualifications needed for this role**:

- Bachelor Degree or above in healthcare or related discipline
- Doctor or RN experience with speciality (local or overseas) is preferred. OR at least 2 years of solid experience in utilization review or case management in IPMI environment
- Knowledge of coding system is a must
- Excellent interpersonal skills and ability to work with a team is a must
- Highly customer focussed and able to place customer’s health and benefit in the first priority.
- Understand the business commitment to meet deadline and turn-around time
- Proficient communication skills in English

**Why Bupa?**

We’re a health insurer and provider. With no shareholders, our customers are our focus. Our people are all driven by the same purpose - helping people live longer, healthier, happier lives and making a better world. We make health happen by being brave, caring and responsible in everything we do.

As a Disability Confident employer, we offer a guaranteed interview for every disabled applicant who meets the minimum criteria for the job. We’ll make sure you are treated fairly and offer reasonable adjustments as part of our recruitment process to anyone that needs them.

LI-CL2

Time Type:
Part time

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