Role Description
This is a full-time on-site role.
The Customer Relations Officer is responsible for managing member relationships, providing support on healthcare access, and ensuring a seamless experience between members, healthcare providers, and the insurance company. The role focuses on resolving member inquiries, facilitating hospital access, addressing claims-related questions, and maintaining high member satisfaction.
Qualifications
- Bachelor’s degree in Communication, Business Administration, Health Administration, Customer Service, or a related field.
- 1–3 years of experience in health insurance, healthcare administration, customer service, or call centre operations.
- Knowledge of health insurance processes, claims handling, and provider coordination is an advantage.
- Ability to handle sensitive health-related information with confidentiality and professionalism.
- Strong Interpersonal Skills to foster meaningful relationships and collaboration
- Proven ability to drive Customer Satisfaction and maintain high service standards
- Analytical Skills to evaluate client feedback and improve service delivery
Key Skills & Competencies
- Customer relationship management
- Healthcare service coordination
- Complaint resolution and problem-solving
- Communication and empathy
- Attention to detail and documentation
- Time management and multitasking
- Ability to work under pressure in a service-oriented environment
Key Responsibilities
- Serve as the primary contact for members regarding healthcare access, benefits, and service inquiries.
- Assist members with processes such as OTP generation, hospital access verification, and provider guidance.
- Respond to member complaints and concerns promptly and ensure timely resolution.
- Coordinate with healthcare providers (hospitals, clinics, pharmacies) to facilitate smooth service delivery.
- Support members with information on benefits, coverage limits, and authorization requirements.
- Assist with claims-related inquiries, including claim status updates and documentation requirements.
- Escalate complex cases to relevant departments such as claims, underwriting, or provider relations.
- Maintain accurate records of all member interactions and service requests.
- Follow up with members after issue resolution to ensure satisfaction.
- Support the onboarding of new members by guiding them through service access processes.
- Participate in member education initiatives and awareness campaigns on how to access healthcare services.
HOW TO APPLY
Submit CV and cover letter to: 📧 [ info@apexhealthghana.com ]








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