Full time Offered Salary :

Care Assessor at APA Life Assurance Company Ltd

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Job Description

This position is responsible for managing the client’s benefits as per the policy and responding to clients queries through email/telephone.

KEY PRIMARY RESPONSIBILITIES

  • Reviewing and issuing pre-authorization.
  • Handling the 24-hour call center (cell phones /office lines) and responding to clients’ queries as they arise.
  • Interacting with clients, brokers, clinicians, APA relationship officers, and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy.
  • Conducting hospital visits to assess patient’s care throughout the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship.
  • Reporting adverse occurrences relating to clients’ management, and policy with appropriate action to ensure compliance with quality patient care.
  • Coordinating step-down management and referrals for all clients with chronic diseases
  • Participating in health talks/wellness camps and service meetings
  • Participating in company CSR and brand-building activities in liaison with other departments.

ACADEMIC QUALIFICATIONS

  • Bachelor’s degree/Diploma in relevant field

JOB SKILLS AND REQUIREMENTS

  • Team player with strong interpersonal and persuasive skills
  • Good Communication and interpersonal skills
  • Good analytical skills and keenness to details
  • Excellent Negotiation skills
  • Effective decision maker

PROFESSIONAL QUALIFICATIONS

  • Any Relevant professional qualification
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