Job Purpose
As a Medical Benefits Officer, you will support the Manager in customer service operations and ad hoc project work across the department to ensure adherence to company policies, standard operating procedures, and regulatory authorities mandates. In all areas, maximise the use of automation to limit company expenses and improve efficiency. Ensure that Medical Benefits (MB) policy and procedures are upheld in all operational activities. Administrate projects, scheme updates, and process revisions in line with MB objectives and management direction, ensuring accurate documentation of process and policy changes in line with audit parameters. Support management reporting with reports and dashboards.
In This Role, You Will
- Support claims, pre-approvals, and customer support teams across medical and administrative operations to ensure they are operated effectively within the MB team, thereby ensuring consistency. Work with the Manager to identify and monitor quality, establish problem areas, and implement corrective actions.
- Maintain a consistent business process review approach, making maximum use of automation to improve the speed and quality of internal processes and the customer experience.
- Compile feedback from various sources, thereby measuring external medical providers and healthcare benefits, documenting and investigating to seek recommendations for quality improvements.
- Provide enhanced customer support activities (direct, call, and Salesforce case management) to ensure internal customers are consistently given an excellent experience through both internal support and service delivered by external network providers.
- Collate experience trends and customer feedback reports to document activity with external providers, meet network administrators, and drive expected customer experience standards, initiating continuous process improvement activities.
- Maintain an enhanced understanding of all customer touchpoints to propose efficiencies across systems, policies, and processes.
- Demonstrate advanced communication skills with the ability to work across all disciplines and business groups.
- Support the development of internal communication, create templates, and online tools that enhance employee understanding.
- Work closely with the HR Manager Member Advocacy to correspond and communicate via telephone, email, or personal visits with covered members, internal stakeholders, and external medical providers to discuss and resolve matters relevant to the customer experience.
Qualifications & Experience
To be considered for the role, you must meet the below requirements:
- Degree or Honours (12+3 or equivalent) in a relevant business field with relevant experience (medical insurance, HR policy, projects, etc.)
- 2+ years of experience in a similar role
You'll Have An Edge If You Have
- Knowledge of claim examination procedures and standard insurance procedures.
- Knowledge of medical terminology is desirable.
- Knowledge of company insurance schemes and the reimbursement and benefits system would be an advantage.
- Proficient in written and spoken English.
- Computer literate and proficient in the MS Office Suite of Software with advanced Excel skills. Preferred knowledge of web-based tools such as SharePoint and Business Intelligence.
Salary & Benefits
Join us in Dubai and enjoy an attractive tax-free salary and travel benefits that are exclusive to our industry, including discounts on flights and hotel stays around the world. You can find out more information about our employee benefits in the Working Here section of our website. Further information on what it's like to live and work in our cosmopolitan home city can be found in the Dubai Lifestyle section.