Provider Services Consultant

Job Description:

Provider Services Consultant

Cairo, Egypt

Hybrid Working

Fixed term and full time

We make health happen:

As Provider Services Consultant you will provide excellent customer service for our providers as stated in our aims and mission statement. You will need to make customer/provider focused actions based on effective decision-making skills. This will also include excellent internal customer/provider service, with continuous contribution given towards achieving individual, team and department goals and objectives.

What you will do

• Respond to all relevant incoming correspondence and queries from our internal departments relevant to providers claims.

• Re-assess and rectify simple provider paid claims into the computer system with a high degree of accuracy.

• Action any claim related query in line with Bupa Global policy and style.

• Obtain all necessary information on claims for the purpose of complete processing, including liaison with internal departments, using the following methods: telephone or e-mail.

• Ensure the correct interpretation of Bupa Global policy and rules, using the correct compatible combinations of codes for accurate processing of data, in accordance with our service standards and customer expectations.

• Contribute to the continuous development of the claims process by identifying opportunities for product development and process improvement.

• Suspend claims that require further investigation in order to resolve appropriately to ensure the correct continuation of processing within agreed timeframes and standards in suspend process.

• Logging claims on the system under correct members’ registrations, when needed.

• Work on shift basis according to business need.

What you will bring

• A medical degree/background such as Pharmacy or Dentistry

• Background in the global health insurance market, or relevant transferable skills and knowledge from other financial services industries such as Life Insurance, Retail, Commercial or Investment Banking and Wealth Management

• Previous experience of a complex and multi skilled customer/provider facing or claims roles are highly desirable.

• A track record of achieving and exceeding productivity and quality targets

• Highly customer focussed

• Excellent interpersonal, communication and influencing skills are required with emphasis on achieving results and successful outcomes.

• An ability to speak a second language would be an advantage

Time Type:

Full time

Job Area:

Administration

Locations:

Egypt - Cairo