Healthcare Services
Job in
Jeddah, Saudi Arabia
Listed on 2026-10-20
Listing for:
Bupa Arabia for Cooperative Insurance Company
Full Time
position Listed on 2026-10-20
Job specializations:
-
Customer Service/HelpDesk
-
Healthcare
Job Description & How to Apply Below
To resolve internal escalations of non-approved pre-authorization cases on time and restore member confidence through clear communication and coordinated clinical review.
End-to-End Escalation & Recovery Case Management- Handle internal escalations of non-approved pre-authorization cases.
- Coordinate clinical review of escalated cases.
- Coordinate with Medical, Operations and Customer Care to resolve cases on time.
- Track open escalations to control the case backlog.
- Conduct recovery reviews for predefined eligible cases.
- Contact members to understand and address their concerns.
- Communicate case outcomes to members clearly.
- Follow up after adverse service experiences to restore member confidence.
- Analyse escalations, complaints and rework drivers to identify root causes.
- Identify process gaps and improvement opportunities.
- Recommend corrective and preventive actions for approval.
- Coordinate agreed actions with cross-functional stakeholders.
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