Claims Assessor - Temporary

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 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.
* Recognise and challenge possible fraudulent information and proactively seek to clarify and resolve using best method of communication and initiative.
* To always comply and abide by the requirements of all regulators.
* Work on shift basis according to business need.

What you'll bring:
* Put fair treatment of customers at the heart of what you say and do. Be courageous and speak up if you believe our products or services do not deliver what we have led our customers to expect.
* Be accountable and take ownership for ensuring you are familiar with all regulatory requirements that fall within the remit of your role and always comply with them. Seek guidance if you need support understanding your regulatory requirements. Notify, without delay, any potential or actual breach of regulation.
* To maintain governance and control requirements, ensuring all internal governance requirements are met, including full compliance with all policies, audit actions, monitoring actions and risk appetite.
Time Type:
Full time
Job Area:
Locations:
Egypt - Cairo