KEY PRIMARY RESPONSIBILITIES

• Reviewing and issuing pre-authorization;
• Handling the 24hour 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 continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship;
• Reporting adverse occurrences relating to clients’ management, 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 in relevant degree

JOB SKILLS AND REQUIREMENTS

• Leadership skills
• Interpersonal and Communication skills
• Analytical skills

PROFESSIONAL QUALIFICATIONS

• Relevant professional qualification

EXPERIENCE

• At least 4 years’ relevant experience