This position is responsible for managing the client’s benefits as per the policy and responding to clients queries through email/telephone.
KEY PRIMARY RESPONSIBILITIES
- Reviewing and issuing pre-authorization.
- Handling the 24-hour call center (cell phones /office lines) and responding to clients’ queries as they arise.
- Interacting with clients, brokers, clinicians, APA relationship officers, and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy.
- Conducting hospital visits to assess patient’s care throughout the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship.
- Reporting adverse occurrences relating to clients’ management, and policy with appropriate action to ensure compliance with quality patient care.
- Coordinating step-down management and referrals for all clients with chronic diseases
- Participating in health talks/wellness camps and service meetings
- Participating in company CSR and brand-building activities in liaison with other departments.
ACADEMIC QUALIFICATIONS
- Bachelor’s degree/Diploma in relevant field
JOB SKILLS AND REQUIREMENTS
- Team player with strong interpersonal and persuasive skills
- Good Communication and interpersonal skills
- Good analytical skills and keenness to details
- Excellent Negotiation skills
- Effective decision maker
PROFESSIONAL QUALIFICATIONS
- Any Relevant professional qualification
EXPERIENCE
- At least 4 years of relevant experience
Deadline: 06-May-2023
How to apply:
Strong preference will be given to candidates with the above qualifications, skills, and experience. If your career aspirations match this exciting opportunity, please submit your application to [email protected]
