Temporary Department Head

Description

Job Summary: Responsible for managing and tracking GMM claims processes for intermediaries/customers, ensuring compliance with agreements and service level requirements. Key Responsibilities: 1. GMM Claims Management and Customer Service 2. Interpretation of Medical Reports 3. Tracking of Procedures and Timely Service **Mission or Objective:** ---------------------- Provide service for assigned intermediaries'/customers' GMM claims processes (activations, reprocessing, and procedure tracking) to fulfill agreements and agreed-upon service levels with the customer. **Function \- Responsibility:** ------------------------------- 1\.\- Track GMM claims procedures for assigned intermediaries/customers to ensure timely responses (50%) 2\.\- Ensure accurate service delivery based on information recorded in the medical file (focused on the medical condition), in accordance with contracted service terms (25%) 3\.\- Record and complete the medical report outcome in control dashboards to monitor the performance of assigned intermediaries/customers (25%)**Education:** ---------------- Bachelor's Degree or Engineering (Graduated) in Medicine or Medical Sciences**Language:** ----------- **Tools Proficiency:** --------------------------- Google Suite and/or Microsoft Excel (Intermediate)**Academic Knowledge \- Certifications:** ------------------------------------------------ * GMM Insurance Certification (Desirable) * Administration Courses (Desirable) **Experience and Applicable Responsibilities:** ----------------------------------------------------- * GMM General Conditions * Medical Reports and Interpretation of Results * Customer Service **Areas or Experience in:** --------------------------- * Medical Reports * GMM Customer Service **No Official Validity** -----------------------