Senior Associate - Hospital Delegates Services (Mega AC)

Bupa Arabia


Date: 3 weeks ago
City: Jubail
Contract type: Full time
Job Description

  • 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.

Membership Transactions

  • 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.

Skills

  • 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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