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  • Posted: Oct 21, 2024
    Deadline: Not specified
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  • AXA Mansard is a member of the AXA Group, the worldwide leader in insurance and asset management with 157,000 employees serving 103 million clients in 59 countries. The group is a conglomerate of independently run businesses, operated according to the laws and regulations of many different countries. Despite being written in upper case, "AXA" is no...
    Read more about this company

     

    Contact Centre Doctor / Medical Advisor

    • To maintain a high and consistent level of service delivery for pre-authorisation requests. To provide medical advisory services to Customers or Providers across all channels of interaction. Ensuring that every Customer encounter with our Customer Service Assistants or Provider network continuously generates positive Customer experience.

    Role Qualification:

    Academic/Professional:

    • MBBS degree from a reputable Tertiary Institution.

    Work Experience: 

    • Minimum of 3 – 5 years of direct work experience in medical advisory services.

    Key Responsibilities:

    • Responsible for pre-authorization request administration and management within the Contact Centre team.
    • Maintain and develop internal documents to support the Pre-authorization desk within the Contact Center team.
    • Review a subset of the pre-authorization requests received across all channels of interaction.
    • Assess details of the pre-authorization requests received across all channels based on the internal quality standards (i.e., authorized plan benefits, KPIs and score grid for the sub team).
    • Accompany assessment with meaningful, constructive, and thoroughly documented performance feedback.
    • Complete special projects as required from time to time.
    • Escalate Intensive care and mismanaged cases to the Case Management Team for evaluation or further action.
    • Take over critical condition and cases referred by the Pre-authorization desk, educating the patients about their conditions, and providing treatment options.
    • Complete special projects as required from time to time.
    • Assess details of the pre-authorization requests received across all channels based on the internal quality standards (i.e., authorized plan benefits, KPIs and score grid for the sub team).
    • Discuss and explain performance feedback to Customer Service Assistants (Nurses) individually and regularly at monthly meetings.

    Required Skills and Competencies

    • Ability to take over, handle and follow through on highly sensitive work-related issues via appropriate channel.
    • Strong written communication skills and presentation skills.
    • Ability to use MS office tools (MS Word, Excel, and PowerPoint).
    • Strong Leadership Capability
    • Propensity to champion initiatives.
    • Goal-Oriented.
    • Persuasive.

    go to method of application »

    Head, Institutional Solutions Group

    • To establish the company as a dominant player in the Health sector via the development and management of vibrant Corporate Clientele base.

    Role Qualification:

    Academic/Professional:

    • Academic/Professional: BSc. from a reputable tertiary institution in addition to a professional qualification (i.e. CII or CIIN or other of similar equivalence). Possession of an MBA will be an added advantage

    Work Experience: 

    • Minimum 7 – 10 years total work experience with at least 5 in related job role and at least 5 years leadership experience.

    Key Responsibilities:

    • Primarily market and sell HMO products and other ancillary services to Institutional clients within the private sector
    • Carry out an intelligent study of competitors and market trends to aid premium determination and operations
    • Manage and enhance relationship management activities of all existing and potential client prospects
    • Coordinate the business development activities of the institutional solutions group.
    • Any other responsibilities that might be required by the divisional head of business development/ business from time to time.
    • Responsible for the collection of clients data form with collaboration of quality assurance department
    • Develop active prospect list and facilitate follow up activities.
    • Reviews weekly and monthly activities report
    • Develop and implement strategies for Institutional solutions for the company
    • Responsible for the collection of clients data form with collaboration of quality assurance department

    Required Skills and Competencies

    • Strategic Relationship Management
    • Strong interpersonal & team management/leadership skills
    • Time management
    • Process Improvement
    • Knowledge of Nigeria Healthcare Industry Regulations & Operations
    • Confident

    Method of Application

    Use the link(s) below to apply on company website.

     

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