The SPOC will be responsible for managing communication with assigned Insurance Companies.The role involves monitoring the performance of assigned doctors (DRs), guiding employees or agents on internal processes, and ensuring timely training and updates.
Key Responsibilities:
Strong Communication with Insurance Companies:
Call assigned Insurance Companies for general discussions to ensure smooth communication and collaboration.
Timely Case Closures:
Assign NNR (Number Not Reachable) cases to callers for timely closure.
Ensure that 'To Be Contacted' cases are closed within 2 hours of registration.
Ensure that all 'Re-call' cases, including those involving language barriers, are attended promptly.
QC Fail Closure:
Proactively check and ensure that all 'QC Fail' cases are closed on the same day.
Optimum Utilization of Doctors:
Ensure optimum utilization of assigned doctors and monitor their target achievements.
Guidance for IC Companies:
Guide Insurance Companies and their employees or agents on the HI escalation matrix, tele-video internal processes, and insurance portal usage.
Data Sharing:
Ensure daily & correct MIS is shared with insurance companies
Required Skills & Qualifications:
Strong communication and interpersonal skills.
Excellent time management and organizational skills.
Ability to multitask and meet deadlines.
Knowledge of internal processes and systems (e.g., HI escalation matrix, insurance portals).
Ability to handle sensitive and confidential information.