Job Description
- Maintain a thorough knowledge of all departments, Bupa Arabia network, products, and services so that provide accurate information on networks, treatments, paperwork requirements, and general queries.
- Resolve and input provider that requests into system
according to established guidelines.
- Ensure proper, accurate records, files, databases are set up and maintained.
- Highlight any recurring problems and accordingly take
corrective actions to resolve the case.
- Interpret multiple systems for preauthorization's, claims research, contract interpretation, and provider network status.
- Identify internal and external customer trends and strive to continuously improve service delivery.
- Manage member complaints to resolve issues to full customer satisfaction
Skills
- Ability to use computers and navigate through software applications.
- Ability to multi-task in a fast-paced changing environment and work well under stress
- Strong trouble shooting, problem-solving and analytical skills
- Excellent follow up skills
- Ability to resolve issues effectively
