Precertification and Customer Care Administrator (night shift)
Responsibilities:
• Manage and follow up emergency cases eg : Letter of guarantee to be issued within 1 hour.
• Process precertification requests for the assigned portfolio.
• Handle pre-approval from healthcare providers and clients.
• Manage requests according to authority limits.
• Report suspected fraud cases and any sort of complaints to supervisors/manager.
• Ensure the best customer service to providers, insured, coordinators, brokers.
• Sort the mailboxes and distribute these emails to the teams in charge.
• Analyze, suggest and recommend improvements in the work area.
• Handle queries related to policy benefits, claim status, network.
• Comply with the Turn Around Time of the unit and ensure it is followed throughout the operations.
Requirements:
1- Previous experience in insurance industry or medical field
2- Customer Service experience is preferred.
3- Expatriation experience in an international environment is a plus.
4- Degree in medical fields like Pharmacy, Nursing, Anesthesia ..etc
5- Flexibility to work at night shift, during weekends and public holidays.
Comment postuler :
To apply send your CV mentioning the position in subject of the mail: ›
Ville : Tunis
Nom / Entreprise : Msh International Tunisia
Email : ›
Tel / Fax : 31384617
Adresse : Zone Kheireddine Lac 3