Medical Call Center Officer

SSC HR Solutions

  • Cairo
  • Permanent
  • Full-time
  • 1 day ago
  • Apply easily
Job PurposeOfficer in the customer service call centre role is to provide exceptional customer service support to customers and/or insured members. Will handle high volume of incoming calls, chats and emails inquiries, and complaints, ensuring prompt and effective resolution while maintaining a high level of customer satisfaction. Assist in department activities and tasks as and when requested. Call Centre is a 24/7 operation, so rotational shifts will apply, including night shift.You will also be required to support with pre-approvals, claims adjudication and customer service. Key Performance Indicators: Our KPIs provides insights into the efficiency, effectiveness, and overall customer satisfaction of the customer service officer/representatives in their role, but not limited to the below and will be as per business and department strategy and direction.
  • Customer Satisfaction (CSAT) score
  • First contact resolution (FCR) rate
  • Average handling time (AHT)
  • Abandoned rate
  • Quality Assurance (QA) Score
  • Escalation rate • Knowledge (usage system and tools to resolve customers and/or members inquiries and issues)
  • Occupancy
  • Status: Log-in time, talk time, Hold time, After work time)
  • Call/Chat Transfer rate Key Accountabilities Customer Interaction:
  • Handle incoming/inbound customer and/or members inquiries, requests, and complaints through phone, chat and email channels, in a timely and professional manner.
  • Carry out outbound calls to customers/Insured members on a follow up, clarifications, courtesy calls and or satisfaction calls and other proactive outbound calls flagged as an outbound campaign.
  • Show strong communication skills, active listening and showing empathy to customer enquiries, concerns, and complaints, and provide accurate and appropriate information and/or resolution.
  • Follow established procedures and guidelines for issue resolution.
  • Ensure accurate information wrap up/after call work log after each interaction. Product Knowledge: • Develop and maintain a comprehensive understanding of the organisation’s products or services, including features, table of benefits, terms and conditions…etc.
  • Stay up to date with customer servicing updates, company applications to provide accurate and relevant information to customers and/or insured members. Team Collaboration:
  • Assist with tasks and activities as and when request by department leads and /or management.
Contribute to a positive and collaborative team environment, fostering culture and continuous improvement. Customer Satisfaction and Quality Assurance:
  • Deliver exceptional customer service and a positive customer experience whilst meeting all SLA’s/KPI’s Process Improvement:
  • Follow the company and department policies & procedures and ensure code of conduct is always applied. Adaptability and Resilience:
  • Adapt to changing circumstances, customer demands, and business requirements, while maintaining composure and professionalism in challenging situations
  • Demonstrates resilience in handling difficult customers or high-pressure situations. Communication & Working Relationships Internal
  • Coordinate with department team members and other operation departments. External • Respond and interact with customers and/or insured members in a timely and professional manner.
RequirementsQualifications, Experience & Skills Minimum Qualifications:
  • Bachelor’s degree in business administration and/or any equivalent; additional certifications or education in customer service is a plus.
  • Medical Qualification/background. Minimum Experience:
  • 6months – 2years proven experience in a customer service role, preferably in a contact center or call center environment.
  • Experience in the insurance and healthcare industry is a plus. Job-Specific Skills:
  • Excellent English verbal and written communication and interpersonal skills
  • Strong problem-solving and critical thinking skills and abilities
  • Ability to handle high volume of calls and work under pressure in a fast-paced environment.
  • Proficiency in using customer service software, systems, and any other relevant tools.
  • Computer Literacy is required.
  • Ability to work flexible hours /shift base, including evening, overnight, weekend and holidays as per the business requirements. Required Competencies
  • Customer focus
  • Teamwork and collaboration, Self -motivated, Dependable, and Open-minded
  • Problem-solving
  • Empathy and Patience
  • Service and Product Knowledge
  • Cross-cultural competence
  • Adaptability and Flexibility
  • Continuous learning
  • Time management and Multitasking
  • Adapting and Resilience Version No. 2 Job Description Form - Guidelines No of Pages 3

SSC HR Solutions