Medical Services Specialist
2 days ago
PRUShield Claims recovery is a key initiative for the Medical Portfolio Management team. It is the process of assisting customers in submitting claims to a third-party insurer. This role includes reaching out to customers via 2-way SMS, follow up calls with customers and to follow through with the collation of medical receipts and report on behalf of the customer. The medical documentation is submitted to customer’s HR department and the team will complete the process by following through with the group insurers.
The primary objective of this role is to assist customers and financial consultants with the recovery process. In addition, the specialist must create awareness of the benefits of submitting a recovery claim.
This is an exciting opportunity for those keen on taking on a new challenge that will have a direct positive impact to our organization’s strategic objectives.
Objectives for Medical Services Specialist
- You are a key person in Medical Portfolio Management team, and you will be reporting directly to the Medical Services Consultant.
- You are expected to achieve performance targets set, which include daily call productivity, submission amount, recovery amount and case counts.
Who we are looking for:
Competency & Personal Traits
- Ensure standard operating procedures are followed when handling outbound, and inbound calls to customers and all other stakeholders
- Daily reporting to Team Lead on call activity and outcomes
- Provide end to end support for each case handled
- Ability to assist customers on their recovery claims process, including liaising with hospitals, clinics, group insurers and brokers
- Attend service and product trainings or any other trainings as and where required
- Adhere to standard operating procedures for customer data privacy and protection
- Update all feedback provided by customers and financial consultants to the Team Lead
- Adhere to company’s code of conduct
- Have high level of integrity, and takes accountability of work
- Good verbal and written communication skills
- Provide administrative support such as arranging courier, collecting courier, scanning, and printing documents
- Any other ad-hoc duties as assigned by the Team Lead
- Passion for outstanding customer service
- Knowledge and work experience in Life Insurance is an advantage
Working Experience
- Able to start work immediately or within short notice period
- Understanding of Financial services and Shield product is an advantage
- 1 to 2 years’ experience in a customer service capacity.
- Life insurance qualifications - Certificate in Life & Health Insurance will be an added advantage.
Education
- Poly diploma, GCE A level or relevant work experience.
Language
- Fluent written and spoken English
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