KEY AREAS:
- Processes Guarantee of Payments (GOPs) and takes ownership of cases as required. The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment and insured amount.
- Works on sensitive/escalated cases as required.
- Follows established departmental policies and procedures to process & triage GOPs.
- Liaises with hospitals in case additional info is needed.
- Negotiates discounts with providers.
- Steers member to alternative providers.
- Liaises and ensures efficient coordination with the medical/case management teams.
- Works independently and effectively communicate to internal and external customers by telephone and email.
- Maintains accurate workflow and process documents.
- Translates and interprets medical and other relevant documents when needed.
SKILLS:
- Advance or bilingual knowledge of English is a must (C1/C2)
- Advance knowledge of one or more of these languages: French, German, Portuguese or any other European language (C1 Level).
What you’ll bring:
- Customer focused with ability to identify and solve problems.
- Customer centric mind-set.
- Exceptional interpersonal skills with good verbal and written communication.
- Ability to organise, prioritise and manage workload to meet individual and team targets.
- Ability to quickly identify customer needs and exercise judgment in a professional and confident manner.
- Must possess excellent attention to detail, with a high level of accuracy with proactive approach.
- Capable of balancing various tasks at once while achieving deadlines.
- Ability to work under own initiative and proactive in recommending and implementing process improvements.
