Customer Service Executive
National General Insurance Company (PJSC)
Total years of experience :8 years, 7 Months
Adhering to the case management and cost containment protocols for elective high-cost cases and medical management cases. Referring cases for second opinion SMO when deemed necessary to confirm the best mode of management - also for cost containment to lesser Negotiating factor (NF) facilities within the members network or option for home country treatment. Motor Claim Reporting and validation Adjudicates High-Cost claims at submission level for settlement between the insurer and health care provider as per policy terms and conditions. Document details of all conversation and actions taken Answer inbound Emails and chat as well as assist customers who have specific inquiries.
Closely coordinate with Payers, Providers and Members by providing quality actions and resolutions to their concerns and queries. Proactively handle complaints at the earliest. Pre-authorization and maintaining required out-put of high-cost claims with detailed insight of claims on a day-to-day basis. Performing review of claims as per CPT and ICD coding guidelines in line with insurance regulators (DHA, DOH/HAAD, MOH) Build customers interest in the services and products offered by the company. Provide personalized customer service of the highest level.
Handling Customer Over the Phone and Troubleshooting. The Technical Issue Over the Etisalat System is the Internet Issue and landline. Checking Availability Locations over All UAE for Fibber Optical. Add and remove Services For customers. Make a Report and follow Up on The Technical Issue. Handling Many Tasks in Short-Time Professional & Authentic Thinking Way. Take Responsibility and Decision-Making in The Toughest Conditions. Committed Person & Hard Worker.
Assist customers with menu selection and answer all questions in a respectful and patient manner. Repeat customer orders for accuracy before entering them into the Point-of-Sale System. Ensure all food call items are delivered in a clear and professional manner. Communicate with the dining room to make sure there are an adequate number of tables and seats for customers who have placed orders. Adjust order-taking speed accordingly. Perform other duties as assigned.
Follow up with the second line of support to make sure that all escalated. problems will be solved at the appropriate time. Provide the customer with appropriate options/right suggestion. Respond to and solve all Vodafone Egypt internet customer inquiries. regarding all internet Services and provide an end-to-end ownership to these inquiries till closure Coordinate with customers to assist them with any questions or issues.
Ensure that all customer interaction begins with the standard service greeting to maintain service quality standards and provide daily service indicator reports, also obtain a satisfaction confirmation and customers suggestions for better service before leaving the branch. Contribute to updating KYC documents, by referring customers with outdated information to the concerned party. Managing the queuing system by understanding and resolving customers inquiries and requests to achieve customer satisfaction. Ensure that all marketing materials are well presented. Ask customers to fill satisfaction survey.
Supporting Jumias Selling Partner to solve any incoming issues via 3 channels of communication (Phone, Email & Chat) Managing high volumes of inbound and outbound calls, emails, and chats in a timely manner. Identifying customers needs, clarifying information, researching every issue, and providing solutions.
Dealing with customers in a friendly, polite, and professional way to handle customers requirements. Responsible for patient reservations. Maintain records of interactions with customers in an orderly manner. Calling our prospective patients to inform them about our new offers/promotions. Coordinate the schedules with doctors. Maintain a follow-up on the customer, whose query I had solved, ensure they are satisfied with your answer. Responsible for patient reports and records delivery by hand or via email.
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