Tamheer - Call Center (TPA)

Responsibilities Provide a high level of customer service and professional communication skills. Maintain a thorough knowledge of all departments, Bupa Arabia network, products and services so that customers are provided accurate information on networks, treatments, paperwork requirements, and general queries with confidence at all times. Highlight any recurring problems that are identified and then direct the information accordingly so that corrective actions can be taken promptly. Ability to use and interpret multiple systems for preauthorizations, claims research, contract interpretation, and provider network status. Capacity to understand and interpret client and provider contracts while working with callers. Provides customer satisfaction to both internal and external customers and strives to continuously improve service deliver. Deal competently with customer complaints and take all possible actions to resolve the issue to their fullest satisfaction with minimal intervention of supervisors