Job Description:
Claims Assessor
Cairo
Fixed term, Full Time (40 hours per week) role
Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with OIC), Egypt and Hong Kong (China) as well as regional offices in mainland China, Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.
Role overview:
To take responsibility for entire claims assessment and claims missing information, requests, process including benefit explanation.
What you'll do:
• Inputting claims into the computer system with a high degree of accuracy.
• To action any claim related query in line with Bupa Global policy and style.
• To 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. This may also include gaining information to research further details required to assess a claim.
•Respond to all relevant incoming correspondence and queries from our internal departments. This will be as per the Claims department key performance indicators, which state turnaround time and quality standards.
• Ensure the correct interpretation of BUPA Internationals' policy and rules, using the correct compatible combinations of codes for accurate processing of data, in accordance with our service standards and customer expectations.
• To provide excellent customer service for our members as stated in our aims and mission statement. The job holder will need to make customer focused actions based on effective decision making skills. This will also include excellent internal customer service, with continuous contribution given towards achieving individual, team and department goals and objectives.
• To 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.
• Translate Arabic documents to English when requested by other Bupa International departments.
•Recognize and challenge possible fraudulent information and proactively seek to clarify and resolve using best method of communication and initiative.
• To comply with and abide by the requirements of the Egyptian Financial Regulatory Authority at all times
• Work on shift basis according to business need.
What you'll bring:
•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.
•Highly customer focussed
•Excellent interpersonal, communication and influencing skills are required with emphasis on achieving results and successful outcomes.
•Ability to work well alone, as well as part of a Team A knowledge of worldwide currencies and geographical locations is desirable
Time Type:
Full timeJob Area:
Call CentreLocations:
Egypt - Cairo
Bupa’s purpose is helping people live longer, healthier, happier lives and making a better world. We do this by providing a broad range of healthcare services, support and advice to people throughout their lives. People are at the heart of everything we do. Together, we make health happen.
Every company needs an ethos, and we're no different. Through good days and challeging times, we always work with our values in mind. These are: Brave - Make new possibilities happen. Caring - Act with empathy and respect. Responsible - Own your decisions and actions.
We don't have shareholders at Bupa, which means we're free to invest our profits where they matter: our patients, our facilities, our research, and you.
As a healthcare provider, we have a duty to do the right thing. By our customers, our people and our partners. The Bupa Code holds us to this duty. It's our promise to protect, care for, and build trust with everyone who relies on us.
Here you’ll be welcomed. We champion diversity and we understand the importance of our people representing the communities and customers we serve.
You’ll find an inclusive environment where you can be yourself and where everyone is driven by the same purpose – helping people live longer, healthier, happier lives and making a better world.Free
to be you.
Back in September 2018, we made a pledge. That we'd do whatever we could to make Bupa a diverse, kind and inclusive place to work.
Everyone deserves a positive working environment. Everyone deserves to have their voice heard. Everyone deserves freedom from bullying, harassment and discrimination.
Working in our Contact Centres, no two days are ever the same. Ayshea joined our team in 2014 as a Customer Service Advisor and since then she’s progressed to work in the Omni Channel team. We caught up with her to find out what she loves about working in customer service.
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