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Executive-Customer Care Voice-Customer Experience at EXL Talent Acquisition Team
Cape Town, Western Cape, South Africa -
Full Time

Start Date

Immediate

Expiry Date

17 Jun, 26

Salary

0.0

Posted On

19 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Data Entry, Validation, Verification, Compliance Metrics, Case Creation, Case Routing, Document Attachment, Case Investigation, Faxing, Drug Research, Data Capture

Industry

Business Consulting and Services

Description
The intake agent will receive and review the fax images and start data entry in the system. • Validate and verify the provider and member using all compliance metrics. • Create the precert case and route the case to the appropriate bucket for initial or final review. • Attach the fax for existing precert cases needing additional information. • Intake agent needs to determine whether case should be cancelled or build • Investigate previous case history to determine case outcome • Fax back providers • Research certain drugs • Data capture from system to template.
Responsibilities
The intake agent is responsible for receiving and reviewing fax images, performing data entry, and validating provider and member information against compliance metrics. This role also involves creating and routing precertification cases, investigating case history, and handling communications like faxing providers.