Medical Case Manager

at  Foyer

GOAL

Foyer Global Health was established in 2014 and is the specialist brand for globally mobile people from Luxembourg’s leading insurance company Foyer.
Since its foundation, Foyer has become Luxembourg’s primary insurance. Today, the European Union poses many new challenges while at the same time opening up a host of new opportunities.
In an increasingly competitive market, the Foyer Group remains true to its values: Trust, Excellence, Innovation, Integrity, Independence.
We are looking for a highly skilled and experienced Medical Case Manager to join our Partner and Medical Management team. In this role, your key responsibilities will include assessing medical risks for underwriting purposes and managing medical cases arising from insurance claims to ensure optimal outcomes for both clients and the insurer.
As a proactive member of the medical team, you will support strategies for medical claims cost containment and manage medical cases. The ideal candidate should have a medical background and requires a blend of analytical skills, medical knowledge, and case management expertise.

KNOWLEDGE AND SKILLS

• Medical Background: Preferably a qualified Medical Doctor or experienced Nurse with a health insurance background.
• Medical Knowledge: Comprehensive understanding of medical terminology, healthcare regulations, and medical coding.
• Certification: Preferred in Medical Underwriting and/or Case Management.
• Cost Containment and Fraud Prevention: Strong understanding of strategies and techniques.
• Risk Assessment: Ability to assess medical conditions, prognosis, and associated risks.
• Analytical Skills: Strong attention to detail and compliance.
• Communication: Excellent verbal and written skills in English; knowledge of German, French, and Spanish is an asset.
• MS Office and Data Analysis: Proficiency required.