Precertification and Customer Care Administrator- Spanich (night shift)
À la une
Urgent

Precertification and Customer Care Administrator- Spanich (night shift)

Precertification and Customer Care Administrator- Spanich (night shift)

À la une
Urgent

Aperçu de l'offre

Emplacement
Tunis, Tunis
Type d'offre
Temps plein
Salaire
2 000 DT - 3 000 DT par Mois
Date de publication
19 jours

Détails supplémentaires

Identifiant
69945
Vues
226
Type de contrat
CDI

Description de l'offre

Responsibilities: 

• Manage and follow up emergency cases and  process precertification requests for the assigned portfolio and handle pre-approval from both healthcare providers and clients.

• Treat requests according to authority limits.

• Report suspected fraud cases and any sort of complaints to supervisors/manager.

• Ensure the best customer service to providers, insured, coordinators, brokers.
• Sort the mailboxes and distribute these emails to the teams in charge.
• Analyze, suggest and recommend improvements in the work area.
• Handle queries related to policy benefits, claim status, network.
• Comply with the Turn Around Time of the unit and ensure it is followed throughout the operations.

Requirements: 

1- Degree in medical field as pharmacy, nursing, anesthesia, kin..etc is a must.

2- Previous experience in customer service (délégué) or insurance industry mainly TPA is preferred.

3- Good communication skills in French, English and Spanich. 

4- Ability and willingness to move to an administrative job (8 hours per day) and be in an indirect contact with patients.  

5- Flexibility to work at night shift, during weekends and public holidays. 



Emplacement

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