CARE ASSESSOR

This position is responsible for managing the client’s benefits as per the policy and responding to clients queries through email/telephone.

KEY PRIMARY RESPONSIBILITIES

• Reviewing and issuing pre-authorization.
• Handling the 24-hour call center (cell phones /office lines) and responding to clients’ queries as they arise.
• Interacting with clients, brokers, clinicians, APA relationship officers, and schemes HR’s as required to resolve problems/update progress in a manner consistent with the principles of the policy.
• Conducting hospital visits to assess patient’s care throughout the continuum of care for diagnosis/procedures as well as maintaining the client’s /provider relationship.
• Reporting adverse occurrences relating to clients’ management, and policy with appropriate action to ensure compliance with quality patient care.
• Coordinating step-down management and referrals for all clients with chronic diseases
• Participating in health talks/wellness camps and service meetings
• Participating in company CSR and brand-building activities in liaison with other departments.

ACADEMIC QUALIFICATIONS

• Bachelor’s degree/Diploma in relevant field

JOB SKILLS AND REQUIREMENTS

• Team player with strong interpersonal and persuasive skills 
• Good Communication and interpersonal skills
• Good analytical skills and keenness to details
• Excellent Negotiation skills
• Effective decision maker

PROFESSIONAL QUALIFICATIONS

• Any Relevant professional qualification

EXPERIENCE

• At least 4 years of relevant experience