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Job Description
Member Service Support
- 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
Membership Transactions
- 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
Group secretaries and members
Business managers & Sales
Cross Functional Departments
Job Details
Preferred Candidate
Bupa Arabia
Bupa Arabia is a healthcare insurance company based in the Kingdom of Saudi Arabia. We are an associate business of Bupa Group, which is a global healthcare company with an international reach that extends across multiple business operations, practices, and resources.
Founded in October 1997, Bupa Arabia was initially established through a partnership between Bupa Global International and Nazer Group, with the key focus to provide health insurance services with high quality and competitive prices, while ensuring a distinctive experience for customers. Bupa Arabia has since evolved into a fully Saudi-owned and operated company. Our transformation from a joint venture into a publicly traded company on the Saudi Stock Exchange occurred in 2008, as we made 40% of our shares available to the public during our Initial Public Offering (IPO).
As a subsidiary of the global Bupa Group, we draw upon international expertise while maintaining a profound understanding of local healthcare requirements and regulations. This allows us to offer comprehensive healthcare insurance solutions tailored to the unique needs of the Saudi Arabian market.
Bupa Arabia prides itself on its commitment to the wellbeing and development of its employees, providing them with the same standard of care, support, and professionalism that it expects to be delivered to its customers.
Our core values shape every aspect of our work and culture:
Commit – Own it with accountability and urgency.
Collaborate – Win together through cross-functional synergy.
Care – Put people first, both employees and customers.