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Customer Care Specialist

2 months ago

Riyadh, Ar Riyāḑ, Saudi Arabia BUPA Arabia Full time
About the Role

We are seeking a highly skilled and experienced Customer Care Specialist to join our team as a Key Account Associate. In this role, you will be responsible for promoting our services to members and ensuring they have a seamless experience with our company.

Key Responsibilities
  • Promote our services to members and encourage them to utilize our offerings, including Tebtom, Rahatkom, and Telemedicine.
  • Guide members on the best points of contact for queries and communication, ensuring they receive timely and effective support.
  • Update members on insurance coverage details, follow up on cases, and respond to inquiries in a timely and professional manner.
  • Collaborate with internal departments to ensure excellent customer satisfaction and complete transactions and inquiries on time.
  • Manage assigned projects using the Kaizen methodology to contribute to business improvement and enhance customer experience.
  • Add and delete members, update member information, and coverage class as per group secretary request for 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 missing documents required for submission.
  • Ensure 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 revising the rejected requests.