Claims and Customer Service Manager

Job Description

Title: Claims and Customer Service Manager

Company Name: Multisourcing Limited.

Vacancy: 01

Job Location: Dhaka

Employment Status: Full-time

Educational Requirements:
∎ Graduated in a Reputed University.
∎ Skills Required: call center supervisory management

Experience Requirements:
∎ At least 5 year(s)

Job Responsibilities:
∎ Customer Service Helpdesk - Medilink Global Bangladesh Ltd.
∎ Handle incoming inquiries (via online chat, phone, emails, portals) from policy holders / covered members pertaining to eligibility status, benefits entitlement, benefits exclusions, providers network, status of approval for GL request and status of approval for reimbursement claims as well as any matters pertaining to the medical benefit scheme.
∎ Handle incoming inquiries (via online chat, phone, emails, portals) from Providers pertaining to status of approval for Initial Guarantee Letters, Top Up Guarantee Letters and Final Guarantee Letters (Pre-discharge).
∎ Handle general grievances and complains from policy holders / covered members and providers.
∎ Cashless Claim Processing-
∎ Receive, review and process incoming Requests for Initial and Top-up Guarantee Letters from policy holders / covered members and providers.
∎ Review and adjudicate Final bills prior to policy holders / covered members' discharge from hospitals as well as transcription of data into ECCS.
∎ Reimbursement Claim Processing-
∎ Receive, review and process Re-imbursement of "Pay and File" claims submitted by policy holders / covered members as well as transcription of data into ECCS.
∎ Medical Review-
∎ Assist, support and facilitate the Medical Advisor/Claims Manager in eye-balling (reviewing) the Patient-in-Bed Dash Board for the purpose of case monitoring and concurrent review.
∎ Assist, support and facilitate the Medical Advisor/Claims Manager in performing any other related duties.
∎ Review, investigate and follow-through Exceptions Listing of out-patient claims of Panel Providers
∎ Back-office Support & Management-
∎ Assist, support and facilitate the setup of payor account, corporate account, health plans, user access and enrollment of policy holders / covered members.
∎ Assist, support and facilitate the setup of provider account, user access and training to provider via call.
∎

Additional Requirements:
∎ Age at least 27 years
∎ Both males and females are allowed to apply

Salary: Negotiable

Compensation & Other Benefits:
∎ Provident fund
∎ Festival Bonus: 2

Job Source: Bdjobs.com Online Job Posting.

Application Deadline: 20 Sep 2021

Company Information:
∎ 6 Sep 2021
∎ Multisourcing Limited.
∎ Address : Road # 16A , House # 1A, Gulshan - 1, Dhaks - 1212
∎ Web : http://multisourcingbd.com
∎ Business : Multisourcing Limited is a diversified holding company. MultiSourcing Ltd. is a Value Added Service provider. Its commercial operations Started in first quarter of 2004. C2 is providing various SMS and IVR based applications to different segments of subscribers ranging from corporate to individual subscribers. We have been working in Partnership with the following operators to provide quality content , VAS and IVR(Interactive Voice Response Services), Text Based Services, Premier Services, GPRS Contents

Category: Customer Support/Call Centre