Total Health Trust Limited (THT), a leading Health Maintenance Organization is recruiting to fill the position below:
POSITION : Call Centre Agent
Responsibilities
Receive calls from prospective clients and re-route the calls to the Sales and Distribution department ensuring that het prospective clients receive the best service
Log enquiries for all calls relating to registered providers, Clients and members
Follow up on specific cases as distributed by the manager to ensure a value added service offering
Adhere to and live the organizational values
Receive calls from members or employer groups, providers and prospective clients
Receive calls from providers and have first call resolution on pre-authorization queries for limited and straight forward cases or route the query to the correct department for call resolution
Receive Employer group calls and to resolve queries relating to the specific group or members within the group and route the query to the correct department for call resolution in the more complex cases
Receive and resolve all member related calls and to ensure that all complaints and queries are resolved on first call resolution or escalate the query for resolution
Requirements
Be a registered nurse, midwife or possess B.Sc. Nursing with valid license.
Minimum of 1 year clinical experience and experience in similar role in a Health Maintenance Organization (HMO) will be an added advantage
Have advanced knowledge of NHIS regulatory guidelines, Medical Global Best Practices, Health Insurance, Products and Processes, and Scheme Rules
Have a minimum of Credit or Second Class Upper Division and additional medical qualification will be an added advantage
Excellent organizational, communication (verbal and written), listening skills and attention to detail.
Sorry the application deadline for this job has elapsed
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