Customer Care Officer managing communication inquiries from various stakeholders in Bahrain. Ensuring high standards of customer service and documenting all case details.
Responsibilities
Respond to communication inquiries / complaints raised by members, providers, brokers, and payers as per the standard procedures.
Ensure that all cases are responded within predetermined time scales and are dealt with the highest standards of customer service.
Document details of all cases and actions taken.
Correspond with Care Center Management accordingly and comply to provide a customer-oriented service at all times.
Closely coordinate with Payers, Providers and Members by providing quality actions and resolutions to their concerns and queries.
Proactively handle complaints at the earliest.
Follow communication/update expectations with clients, in accordance with NEXtCARE policies, scheme or agreed time frames set.
Answer inbound Emails as well as assist customers who have specific inquiries.
Build customer’s interest in the services and products offered by the company.
Provide personalized customer service of the highest level.
Update the existing database with changes and the status of each existing/prospective customer/member.
Maintain records and close-loop each call by completing the clerical duties which includes faxing, filling up paperwork, doing checks on credit references, as well as liaising with other departments.
Analyze the various parts of a problem properly and develop logical solutions within the permitted scope of work.
Efficiently adjudicate pre-approval claims that exceed the standard Turnaround Time (TAT) to ensure timely resolution.
Issue Guarantee of Payment (GOP) documents as required to facilitate seamless service delivery.
Requirements
Bachelors Degree ; Medical background (Medical, Paramedical)
2+ years experience in a Call Centre/ Customer Service environment, TPA Hospitals or Medical Centers exposure a plus.
Physically fit to carry out duties.
Legally permitted to work in the country of operations.
Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills.
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