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Job Description
- Respond to medical requests (approvals, refunds, family medical, lost cards reissue and medical insurance inquires), in addition to handling and resolving their complaints.
- Sending chronic cases to the insurance company and ensuring that they add all prescriptions on the pharmacies’ systems.
- Reviewing settled insurance claims to determine that payments and settlements have been made in accordance with the company’s practices and procedures.
- Prepare refund claim request.
- Receiving and revising checks from the insurance company for employees’ refunds.
- Send new hires data and needed documents to the medical insurance company to issue their medical cards.
- Receive resignations medical card “Self & Family” and add to month deletion report.
- Review invoices received from the insurance company for addition and deletion.
- Any additional HR tasks.
Job Requirements
- Hands-on experience managing Medical Insurance account.
- 1-3 years of experience in HR.
- Excellent verbal and written communication skills
- Excellent command of English.
Job Behavioral Competencies
- Negotiation skills
- Problem-solving and decision-making
- Accuracy and attention to details
- Initiation and ownership
- Organized