Enrolment
1 week ago
Role Purpose:
Performing all Enrolment transactions and processes for all customer accounts categories post and prior the activation of the contract.
Key Accountabilities:
1- Targets;
- Issuing and activating the memberships for all customer accounts along with generating the table of benefits based on the customized the plan for each product and opportunity.
- modifying the contract benefits during the contract period.
- processing daily requests sent by the group secretary through the predefined channels with following all regulatory procedures and insinuations.
- Performing set of procedures intended to ensure that performed service adheres to a defined set of quality criteria that meets the requirements of the clients and regulator.
- validation in line with Insurance policy and CHI guidelines filter out fraud and anti-selection.
- support all sales teams in any request related to Enrolment operations within an agreed KPI and business guideline.
- Comply with all regulatory requirements to mitigate compliance risk
- Perform quality assurance tasks on all membership requests based on the QA process.
2- System & Technology;
- Initiate change requests for system enhancement to improve efficiency and productivity
- Support the development and implementation of new technology by running tests on the new technology
- Contributing to the system enhancements, process optimization and continues improvement programs.
3- Workload Management;
- Respond to all internal queries on the status of all job requests.
4- Internal and external Communication;
- Build relationships and coordinate with other departments, particularly the Sales, provider relation, pricing, claims department, pre-authorization department and IT to ensure clear communication.
**Skills**:
- Good spoken and written communication skills (Arabic and English).
**Education**:
Business Administration, IS, MIS and related majors.
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