Provider Services Consultant

Job DescriptionProvider Services ConsultantCairo, Egypt Hybrid WorkingFixed term and full timeWe Make Health HappenAs 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 DoRespond 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 BringA medical degree/background such as Pharmacy or DentistryBackground 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 ManagementPrevious 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 targetsHighly customer focussedExcellent 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 advantageTime TypeFull timeJob AreaAdministrationLocations:Egypt - Cairo