Senior Associate - Hospital Delegate Services (Mega AC)
Bupa Arabia
Date: 5 days ago
City: Jubail
Contract type: Full time
Job Description
Member Service Support
Member Service Support
- Promote BA services by supporting members to utilize services (Tebtom, Rahatkom, Telemedicine, etc) and keep members engaged with company services.
- Guide members on points of contact for queries and communication.
- Update members on insurance coverage details, follow up cases, inquiries and responses with full support.
- Complete transactions and answering members’ inquiries on time by aligning with internal departments to reach excellent customer satisfaction.
- Manage assigned projects with Kaizen methodology to contribute to business improvement and enhancing customer experience.
- Add and delete members and update member information and coverage class as per group secretary request for the policy coverage.
- Validate documents, contact information, and link members to CCHI for membership amendments and complete the missing documents in the upload process.
- Validate medical claims received by members and request for missing documents required for submission.
- Ensure that added members have received membership confirmation and follow up on pending claims.
- Update members on pending claims and provider requests and justify rejections.
- Recover rejected Pre-authorization requests and support to revise the rejected requests.
- Background in customer service in telecommunication, insurance, hospitals, banks or FMCG
- Ability to multitask and work under pressure.
- Commercial skills in combination with service mindset
- Excellent follow up skills.
- Strong communication and negotiation skills
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