Purpose: The job exists to support the clinical functions, create and maintain excellent relations with the service providers while improving and implementing all possible measures to achieve optimum cost savings and creating efficiencies within the service provider management.
It involves management of feedback (complaints and accolades) from customers, clients and service providers.
The ultimate goal of this job is to achieve excellent customer experience while receiving treatment, cost management and excellent relations with the service providers.
Achieving consistent turnaround times with a qualitative approach is a key fundamental for this role.
Primary Responsibilities:
Identification and recruitment of Health providers, Hospitals and clinics within the assigned counties
Create awareness of the IT systems available to Health providers to optimize on technology and cut down operational expenses
On field-training of Health providers, Hospitals, Clinics on the products and systems supporting the product – with specific focus on their domain which is being able to authenticate the policy holders/clients and to make claims, receive payments from Bliss
Conduct regular field visits to the various providers within the identified region gathering information on the performance and progress of the system
Provide feedback on opportunities, gaps, supporting and encouraging providers to avail the same
Managing feedback from health providers and ensuring proper escalation and speedy and full resolution within defined timelines
Deliver all business tools required by the providers if any and as provided by Bliss
Provide reports on performance/ registrations, market issues and general feedback to the respective supervisor who will in turn prepare a report to Bliss and all other stakeholders
Providing on- ground assistance and acceptable solutions to the providers with the guidance of the line Managers
Carrying out ad hoc audits and mystery shoppers to ensure the quality of service offered and compliance to SOPs
Detect possible areas of fraud or fraudulent practices and communicate the same to Bliss within the specified timelines
Continuous update of provider list, contact details, service offerings, statement of accounts and all other changes of all providers
Brand uphold- Marketing the company
Create and maintain business relationship with the health providers
Debt clearance sign offs with the service providers in liaison with the line Manager and Finance
Minimum Academic Qualification:
Diploma/certificate in medical field OR Experience in medical insurance
Key Skills:
Excellent communication and interpersonal skills
Excellent persuasive and negotiation skills
Basic Knowledge in computer-Microsoft suit
Proven ability to build strong client relations and maintain excellent customer focus
Good report writing skills
Interested candidates who adequately possess the stated qualifications and skills should apply by sending their updated CV to hr@asteriskkenya.com stating current and expected salary.
The email subject should be SLA EXECUTIVE.
Only shortlisted candidates will be contacted for interviews.