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• To be a centralized independent liaison between AHS & Complainer in reviewing complaints objectively (identifying root cause/ gaps for improvement) related to cashless facility. To monitor progress of closure of all enquiries & complaints received from various stakeholders and providers and analyses areas of improvement across Operations based on root cause identified. Centralised setup admin for CRM to create new business rulesTo ensure all complaints received are investigated and replied by identifying the root cause and providing appropriate solutions with the turn-around time (TAT). For regulatory complaints cases, if the complaint cannot be resolved within the given TAT, a holding letter is sent requesting for additional days
To discuss and share with Operations Managers the root causes and gaps identified.
To ensure all complaints are recorded, findings are updated and closed timely.
To ensure all complaints closed are recorded and tracked in ISAAC by 3rd of every months & ORION report (captures staff error) by 2nd week of every month.
To monitor on their productivity and coach staff on medical related queries. Process claims and payment that required reprocessing for IB & EB Portfolios Setup Admin for CRM on creating and managing business rules on guarantee letter issuance for IB & EB
To perform other responsibilities and duties periodically assigned by supervisor to meet operational and/or other requirements.
Build a career with us as we help our customers and the community live healthier, longer, better lives.
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