Role Purpose: To enrollment of customer contracts including data upload and TOB creation to enhance member’s satisfaction and meet BUPA’s production targets. Key Accountabilities: 1- Target Achievement;
Updating data on member’s records within assigned production/quality targets including data validation in line with Insurance policy and CCHI guidelines filter out fraud and anti-selection.
Validates all service costs charged by service providers to BUPA by maintaining all relevant records.
Comply with all regulatory requirements to mitigate compliance risk
Perform quality assurance tasks on all membership requests based on the QA process.
2- System & Technology;
Initiate change requests for system enhancement to improve efficiency and productivity
Support the development and implementation of new technology by running tests on the new technology
Filing and maintenance of all updates to member records.
Maintain supporting documentation for all charge-back billing.
Preparing quality assurance report and maintaining audit trails of all QA tasks.
3- Workload Management;
Respond to all internal queries on the status of all job requests.
4- Internal and external Communication;
Build relationships and coordinate with other departments, particularly the Sales, provider relation, pricing, claims department, pre authorization department and IT to ensure clear communication.
Skills
Expert in Microsoft Office applications.
Good spoken and written communication skills (Arabic and English).
Education
Business Administration
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