Job Description
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
Group secretaries and members
Business managers & Sales
Cross Functional Departments
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