![Bupa Arabia](https://media.trabajo.org/img/noimg.jpg)
Key Account Customer Care
3 weeks ago
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
**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
- Experience in customer service, contact or call center, or customer care management is an advantage
- Strong background in medical sector or insurance is a plus
**Education**:
Business, Marketing
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