This position is responsible for managing the client’s benefits as per the policy and responding to clients queries through email/telephone.
KEY PRIMARY RESPONSIBILITIES

Reviewing and issuing pre-authorization.
Handling the 24-hour call center (cell phones /office lines) and responding to clients’ queries as they arise.
Interacting with clients, brokers, clinicians, APA relationship officers, and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy.
Conducting hospital visits to assess patient’s care throughout the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship.
Reporting adverse occurrences relating to clients’ management, and policy with appropriate action to ensure compliance with quality patient care.
Coordinating step-down management and referrals for all clients with chronic diseases
Participating in health talks/wellness camps and service meetings
Participating in company CSR and brand-building activities in liaison with other departments.

ACADEMIC QUALIFICATIONS

Bachelor’s degree/Diploma in relevant field

JOB SKILLS AND REQUIREMENTS

Team player with strong interpersonal and persuasive skills 
Good Communication and interpersonal skills
Good analytical skills and keenness to details
Excellent Negotiation skills
Effective decision maker

PROFESSIONAL QUALIFICATIONS

Any Relevant professional qualification

EXPERIENCE

At least 4 years of relevant experience 

Deadline: 06-May-2023