Claims Management Consultant

Job Description:

Claims Management Consultant

Cairo - Egypt

FTC - 6 months

40 hours per week

We offer Hybrid working so once you have completed the initial training and are competent in your role you are given the freedom to work from home some days and maintain a great work life balance.

We Make Health Happen

Ensure an exceptional customer experience for our customers by swiftly and accurately resolving all customer claims queries.  Customer contact will be across all communication channels – phone, email, web chat and letter.

This is a diverse and skilled customer facing role where you will be responsible for resolving all claims queries to the customer’s complete satisfaction without the need to refer the customer on. This will include assessing complex and high value claims from all customer groups – Individual, Provider Corporate and Intermediaries.

Your individual performance will be a key contribution to the department achieving all targets for quality, productivity, compliance, and regulation.

You will be a claims subject matter expert, putting the customer at the centre of everything you do and using your claims knowledge to put forward ideas for the continual improvement of the customer experience.

Key Responsibilities

• Taking end to end ownership for the resolution of all customer claims enquiries. Case manages all queries through to resolution.

• Assessing any claims as required including high value and complex claims.

• Accurately maintaining and updating customer records on the customer management system. Ensure that records are accurately updated whenever a customer makes contact.

• Complying with all regulatory and governance requirements including FCA and Treating Customers Fairly

• Achieving all targets for contact handling, turnaround times and quality.

• Participate in regular 121s and team meetings with your manager.

• Support new team members.

• Being a role model for the team demonstrating outstanding personal behaviours and performance.

• Being a Customer Service Champion within Claims. Contribute to the continuous improvement process by challenging exiting process and contributing ideas for improvement.

What We’re Looking For

• 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 in the delivery of customer service within a contact centre setting, coupled with experience of case managing customer queries thorough to resolution.

• Significant experience of claims assessment / management / claims cost containment within the healthcare sector

• A track record of achieving and exceeding productivity and quality targets in a high performing team environment

• Highly customer focussed.

• Excellent interpersonal, communication and influencing skills are required with emphasis on achieving results and successful outcomes.

• Multilingual skills would be an advantage.

Why Bupa

Bupa Global is the international health insurance division of Bupa. We provide customers who want premium international coverage with products and services to access the healthcare they need anytime, around the world, whether at home or when studying, living, travelling or working abroad.

Bupa Global has offices around the world including London and Brighton (UK), Dublin (Europe), Miami (USA), Dubai (UAE, in partnership with Sukoon), Egypt and Hong Kong (China) as well as regional offices in mainland Singapore, the Dominican Republic, Bolivia, Panama, Guatemala and Ecuador.

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