Medical Care Coordinator

• Provide 24/7 quality customer service globally for all clients and members. Close coordination with providers for claims evaluation and case management.
• Front line representative.
• Claims adjudication based on the procedure and medical plan coverage.
• Handle calls from clients, members and providers.
• Establish a good rapport and assist members with their queries/concerns from all communication platforms.
• Ensure all emails and concerns are attended timely.
• Extract claims utilization reports.

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