Minimum Requirements:
- Must be a Medical Benefits Enquiries Representative for 6 months
- Must meet minimum requirements for Medical Benefits Enquiries certification as prescribed by operations management
- Applicants must be willing to work and relocate to Clark, Pampanga.
- Applicants must be a Filipino citizen or have a relevant residence status
- Bachelor's Degree in a relevant nursing and allied medicine field
- Clinical medical experience is an advantage
Key Responsibilities and Accountabilities:
- Will work with the Medical Benefits Team and will be responsible for the provision of accurate policy clarification and guidance to Emirates Group employees and their families.
- Manage emergency telephone approvals and be responsible for confirming cover based on an individual's medical history
- Respond and communicate effectively to queries from members with regard to the medical benefits policy. Ensure accuracy of all communication whether verbal or in writing whilst maintaining agreed levels of service and correct reference to policy
- Support members with updates and information related to status of claims, pre-approvals and appeals
- Undertake preliminary appeal investigations for specialist review
- Assist with data input and preliminary review of system and telephone pre-approvals system, co-ordinate appropriate information from the requestor and medical service providers to ensure a smooth process.
- Assist with data input and preliminary review of system and telephone pre-approvals system, co-ordinate appropriate information from the requestor and medical service providers to ensure a smooth process.
- Administrate eligibility documentation (pre-employment declarations, waivers to cover, case management history)
- Perform related duties may be assigned.
Key Competencies:
- Must be detail oriented with utmost focus on quality and efficiency
- Results orientation with bias for action, versatility, and adaptability.
- Willing to work in shifting schedules that includes possible graveyard shifts.
- Excellent written and communication skills
- Excellent customer service skills
- Proficiency in the MS Office Suite of Software. (Excel/Word/Power Point)
- Keen sense in providing detailed instructions to clients
- Understanding of Middle East culture is very critical
- Must be able to effectively communicate with colleagues and peers from other departments
