Job Description:
Provider Services Consultant
Cairo, Egypt
Hybrid Working
Fixed term and full time
We make health happen:
As 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 do
Respond 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 bring
A medical degree/background such as Pharmacy or Dentistry
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
Previous 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 targets
Highly customer focussed
Excellent 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 advantage
Time Type:
Full timeJob Area:
AdministrationLocations:
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 challenging 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.
Nikki Williams, Colleague Engagement Executive and one of our Be You At Bupa network leads shares her thoughts on why Pride is still important in 2021 and her experience of being LGBTQ+ at Bupa.
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