Claim Integration (TPA )

About This Role

Job Description

Provider Capability Compliance is a key enabler in order to achieve Bupa Arabia vision. The position plays an important role in driving the execution of identified key projects that supports the Provider Capability Compliance enabler and other key business priorities.

Claims Efficiency:

• Orient the providers to comply with the implementation of claims efficiency initiatives
• Assist in implementing practical tools to support project deployment and on-going activation

Provider Process Efficiency:

Accountable for high quality Process Optimization and Instrumentation of all facets concept through design to release and into execution

Reporting & Documentation:

• Develop and maintain documentation on Bupa initiatives ie systems integration (Nphies, DHS, Direct).
• Measure and report program results, while iterating on program changes to optimize results

Project support:

• Support manager during project implementation by providing logistical and planning support
• Ensure post-implementation benefits realisation are reported accurately and on timely manner

Innovation:

• Propose the use of technology innovatively to improve process efficiency and reduce cost
• Implement approved ideas by the business on time and within budget

Internal and external Communication:

Develop and maintain documentation on Bupa initiatives ie systems integration (Nphies).

Skills

• Project management and leadership experience

• Ability to analyze and improve operational processes.

• Strong people management and organizational skills.

• Communication skills,

• Problem-solving and time management skills.

• Detail-oriented.

• Experience in influencing role

• Bachelor degree in science majors

• Expert in editing and validating numerical data

• Experience in facilitation

• With very good interpersonal skills