Connect with us

Jobs

Call Centre Nurse Aide at Old Mutual South Africa

Published

on

Job Description

 

The Information Centre Care Agent is responsible for managing all incoming calls to the OLD MUTUAL Medical emergency hotlines.

 

1. KEY TASKS AND RESPONSIBILITIES

  • Answer incoming telephone calls into the Call Center in a professional manner at all times
  • Working with providers and the OLD MUTUAL Case management team to manage the admission and discharge process of OLD MUTUAL Members
  • Managing requests for services from providers, intermediaries and clients, providing information on the OLD MUTUAL provider network, available benefits per scheme policy and services and other routine information
  • Processing pre-authorization requests for outpatient services
  • Provides health information to customers via OLD MUTUAL approved resources
  • Completes accurate and timely documentation of all services provided to callers
  • Escalate / liaise with claims/ care teams on any issues which require further consultation
  • In conjunction with Smart applications resolve card issues raised at the point of service.
  • Attends all required training sessions and meetings.
  • Normal information center duties. E.g. carrying out customer surveys, social media and email management.
  • Performs all other tasks as assigned by the Information Center Manager, Case Management Supervisor, Medical Case Management Manager and/or Medical Claims Manager.

 

2. SKILLS AND COMPETENCIES

Competences

  • Basic level of proficiency with Windows based applications such as MS Office, Excel, Word
  • Proficient ability to analyze data and develop recommendations
  • Strong verbal and written communication skills
  • Maintains a professional/customer service focus at all times.

 

Qualifications & Requirements

  • Availability to work any both day and night shifts
  • 1+ years in Patient Customer Service Experience Preferred
  • 1+ years Call Center experience Preferred
  • 6+ months professional experience in an office setting using the telephone and computer as primary instruments to perform the job duties
  • Knowledge of medical terminology/Coding (ICD10)
  • Bachelor’s Degree or Diploma in Nursing
  • Experience working in the Insurance industry preferred
  • ACII or Other Insurance Certification Preferred

 

Skills

 

Education

Closing Date :05 December 2023

 

HOW TO APPLY

Click Here to Submit your CV and Application on Company Website

Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Jobs

Corporate Training Telemarketer at People FOCO

Published

on

Job Description

We are a HR Consultancy firm that is very passionate about people and their contribution towards the growth and success of any organization. We create systems that are streamlined towards the attainment of the organizations goals and build the capacity of the organizations employees to deliver results.

Corporate Training Telemarketer

Are you a dynamic, creative, and innovative telemarketer with a passion for sales and marketing? We are looking for a Corporate Training Telemarketer to join our client and help develop and grow their training business in the region. If you have a successful track record in marketing corporate training courses, corporate events, or corporate real estate services, we want to hear from you! This position based in Nairobi is to market the in-person training courses in Kenya, Uganda, Tanzania, Rwanda, Zambia & Malawi.

Key Responsibilities:

  • Drive sales by identifying and engaging potential clients.
  • Understand client training needs and offer tailored solutions.
  • Promote our unique training programs and demonstrate their value to corporate clients.
  • Meet and exceed sales targets, contributing to business growth.
  • Maintain organized, accurate records and manage your sales pipeline effectively.

Qualifications and Experience:

  • A dynamic, creative, and innovative marketing and sales professional with 2-3 years work experience and proven track record in B to B corporate training marketing and sales or marketing corporate events or Real Estate sales experience (a must requirement).
  • Proven top performer with exceptional communication and persuasion skills.
  • Highly organized, detail-oriented, and goal-driven.
  • Critical thinker who thrives in a fast-paced environment and consistently exceeds targets

HOW TO APPLY

Interested and qualified candidates should forward their CV to:

vacancies@peoplefoco.co.ke

using the position as subject of email

Closing Date : 21 November. 2024

Continue Reading

Jobs

Care Team Senior Supervisor at Cigna

Published

on

Job Description

Cigna is a global health service company, dedicated to helping the people we serve improve their health, well-being and sense of security. Cigna has almost 40,000 employees who service over 80 million customer relationships around the world. Within its international division, a dedicated unit – headquartered in Belgium – focuses on the needs of International.

Care Team Senior Supervisor

Your job

As a Care Team Senior Supervisor, you will be managing a team based in KL, Nairobi and Madrid. You will be responsible to motivate your own teams to ensure production levels and targets are achieved, to ensure effective processing controls are in place across locations, as well as championing efforts that achieve the highest possible levels of provider experience and satisfaction that enable the company to meet its growth and profit objectives.

Your role will be broader than the day-to-day management of the team – your agile, provider centric mindset will ensure that you contribute to our overall provider operations strategy, identifying opportunities to enhance the service proposition and to improve the efficiencies and productivity of your teams. Your role will report into the Care Senior Manager based in Madrid.

Your role will be to: 

  • Responsible to lead dedicated care teams across the globe in and efficient and effective way.
  • Build and bring alive a true culture of provider centricity.
  • Responsible to meet operational KPI’s within the team in terms of production, quality, TAT, amongst others, and bring those alive across the team to deliver on those.
  • Analysing support workflows and making suggestions to improve efficiency and effectiveness and be active in seeking and sharing ideas for innovation in business processes.
  • Managing schedules of team members according to customer/provider demand and any service levels agreements.
  • Assess the capacity planning for your segments as well as following up on absences and coverage strategies to secure business continuity.
  • Taking part in forecasting and budgeting for customer service and tracking the actual performance against plan.
  • Produce meaningful, accurate management reports and statistical information in line with formats and timescales agreed with management, including trending and enhancement activities to quantify operational impacts.
  • Regular contact with Client Management, Service Ops, Clinical and other Cigna internal stakeholders within your remit.
  • Identifying and acting to remove obstacles to delivering consistently high levels of services.
  • Assisting and contributing with the design and rollout of new operational excellence projects.
  • Ensure strong employee engagement within the team, including day to day oversight, motivation, conflict management, training, wellbeing, and performance by providing coaching and skill development in collaboration with the other Care Team management and PSO Management Team
  • Working closely with senior management to help customer/ provider service deliver on their components of overall company goals and objectives.
  • Be a focal point for the PSO leads as well as other internal stakeholders.
  • Leading and supporting your teams through required changes.
  • International travel on quarterly basis might be required.

Your profile

  • Minimum 2 years’ experience leading operational teams within the company or outside.
  • International mind-set, with holistic and able to work remotely with colleagues and direct reports across locations.
  • Striving for excellent service to our members, clients, and providers.
  • Experience in and passion for coaching, managing, developing, and motivating individuals and the team.
  • Experience in change and process improvement management – with a proven track record in improving customer service standards.
  • Experience managing offshore teams.
  • Strong presentation skills, and knowledge of Window Office tools like Word, Outlook, Excel, Powerpoint.
  • A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
  • Competency to build a team and create an atmosphere of positive collaboration, innovation and creative solutioning among the team members.
  • Proven data analytics skills (advanced Excel, Qlikview, Tableau …).
  • Results orientated – ability to cascade and explain goals, establish plans and manage work to achieve desired outcomes.
  • Accountability – assumes ownership for achieving personal results and collective goals.
  • Strong communication skills: demonstrating drive and enthusiasm. High level of English is a requirement.

Key Competenties

  • Manage ambiguity
  • Balances stakeholders
  • Organizational Savy
  • Drives Engagement
  • Build effective teams
  • Tech savvy
  • Global perspective
  • Data driven

What we offer?

  • Type of Contract: Permanent.
  • Multicultural working environment: A diverse job in an international context with impressive clients.
  • Hybrid working: Enjoy working from the comfort of your home 3 days per week and 2 days from our Madrid office. Cigna’s “Happy You”: health and wellbeing initiatives, flexible work hours, home working opportunities.
  • Flexible starting hour: Official Schedule Monday to Friday 9.00 to 17.00 but with flexibility. Our shifts are from 7:00 to 9:30, with the possibility to choose the time that suits you best.
  • A wide range of social benefits (such as: healthcare insurance, pharmacy insurance, dental insurance, vision insurance, life insurance, shuttle bus and so on) and attractive salary packages.

HOW TO APPLY

Click Here to Submit your CV and Application on Company Website 

Closing Date : 21 November. 2024

Continue Reading
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement

Trending