Job Description
Role Purpose :
To manage group secretary and members inquiries as per standards for Bupa Arabia and act as a proficient representative and supportive point of contact for members in full range of Bupa Services to keep hold of the caring and responsibility values of Bupa Arabia
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
- Background in customer service in telecomunication, insurance, hospitals, banks or FMCG
- Ablility to multitask and work under pressure
- Commercial skills in combination with service mindset
- Excellent follow up skills
- Strong communication and negotiation skills
