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Manager, Medical Care Concierge at Great Eastern Life Assurance Co Ltd

Cuenca, Azuay, Ecuador -

Full Time

Start Date

Immediate

Expiry Date

09 Feb, 26

Salary

0.0

Posted On

11 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Triage Assessment, Problem Solving, Communication, Stakeholder Management, Healthcare Administration, Medical Claims, Cashless Requests, Documentation, Provider Agreements, Policy Benefits, Internal Coordination, SOPs, Guarantee Letters, Healthcare Provider Interactions

Industry

Insurance

Description

To provide frontline support in handling medical-related enquiries, perform triage based on standard procedures, and issue Guarantee Letters in accordance with policy and provider agreements. • Respond to customer and provider queries related to medical claims, cashless or preauthorization request, and coverage eligibility. • Perform triage assessments based on SOPs and escalate complex cases as needed. • Prepare and process cashless request after verification of policy benefits and provider arrangements. • Maintain accurate and timely documentation of customer interactions. • Coordinate with internal teams to resolve issues and provide excellent service to insured members. • Bachelor’s degree in business, healthcare administration, or related discipline. • 5–8 years of experience in customer service operations, preferably in insurance, healthcare, or TPA. • Prior experience in a customer-facing healthcare role. • Strong problem-solving, communication, and stakeholder management skills. • Familiar with letter of guarantee issuance workflows and healthcare provider interactions.

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Responsibilities

Provide frontline support for medical-related inquiries and perform triage based on standard procedures. Issue Guarantee Letters in accordance with policy and provider agreements.