Tamheer—Key Account Customer Care

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