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Tamheer - Key Account Customer Care

1.00 to 10.00 Years   Saudi Arabia   12 Jan, 2023
Bupa Arabia
2 Jobs Openings
Job LocationSaudi Arabia
EducationBachelor's degree / higher diploma
SalaryNot Mentioned
IndustryInsurance & TPA
Functional AreaNot Mentioned

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.Key Accountability:1- 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
2- 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

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