Tamheer?Key Account Customer Care

Early Applicant

Exp: 0-2 Years

Insurance

Job Description

Job Description

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
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

Background in customer service in telecomunication, insurance, hospitals, banks or FMCG
Ablility to multitask and work under pressure
Commercial skills in combination with service mindset
Excellent follow up skills
Strong communication and negotiation skills