Customer Relationship Manager

JSC "Risk Management and Insurance Company Global Benefits Georgia" is announcing a vacancy for the position of Customer Relationship Manager.

JSC "Risk Management and Insurance Company Global Benefits Georgia" is an innovative risk management and insurance company that offers customers a variety of insurance products and international standard services.

For more information about the company, please visit the following link: www.benefits.ge

Address: 0108 Tbilisi, R. Lagidze st. №8 Working hours: up to 40 working hours per week

Main duties and responsibilities

• Serving insured persons according to the company's service standards;
• Providing telephone consultations to insured persons;
• Providing detailed information to clients regarding service, coverage, and provider network;
• Organizing medical services in provider and non-provider clinics within Georgia (and abroad if contractually covered and requested);
• Arranging for a family doctor's consultation/ home visit;
• Coordinating and managing insurance cases;
• Creating referrals for medical services in the electronic system (software) within the delegated procedures;
• Ensuring electronic delivery of referrals to provider clinics via email;
• Requesting authorization for referrals;
• Providing insured persons with reasoned, argued responses regarding rejected/non-authorized referrals, including source references;
• Coordinating and controlling the process of requesting, authorizing, and delivering referrals to addressees;
• Receiving medical documentation from insured persons via email and creating requests for guarantee letters, reimbursement claims, and written confirmation of document receipt;
• Providing information on confirmed guarantee letters to addressees with relevant comments and references to decision-making sources (contract clauses, protocols, guidelines, etc.);
• Providing written, argued responses in case of claims;
• Communicating with clinics to request documentation when presented documents are incomplete for reimbursement claims, guarantee letters, or referrals;
• Informing insured persons about contract terms, exceptions, and reasons for refusal; directing them to the claims service if necessary;
• Monitoring received services (e.g., home doctor or ambulance calls) according to standards;
• Supporting insured persons in filling out applications (including claims forms) and ensuring submission to the committee, monitoring the process;
• Periodic reporting of own activities to the direct supervisor;
• Timely discussion and resolution of problematic cases as needed;

Requirements

• Higher medical education;
• Mandatory work experience in the insurance field, in a similar position;
• Knowledge of computer office programs;

Candidate selection stages

• Assessment of qualification compliance;
• Interview and/or practical task;
• Verification of personal data;
• Pre-contractual stage: submission of the following documents by the candidate before signing the employment contract:
• Result of a narcological examination;
• Certificate of no criminal record.

What we offer

• A work environment rich in interesting challenges and opportunities for professional growth;
• Comfortable working conditions;
• Interaction with one of the most experienced and friendly teams;
• Opportunities for personal and career growth;
• Health insurance;
• Unlimited talk time;
• One free working day per quarter (Day Off) after successful completion of the probationary period;
• Company-paid maternity leave;
• Cash compensation of 500-800 GEL in special cases;

If interested, please send your resume.

If interested, please click on the link and send your resume: https://benefits.selfrecruit.ge/s/FooXW Good luck!