Senior Associate - Key Account Customer Care (Pipeline)

Bupa Arabia


Date: 1 week ago
City: Riyadh
Contract type: Full time
Job Description

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 in 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 upolad 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

 Group secretaries and members

 Business managers & Sales

 Cross Functional Departments

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