Regulatory Care
Bupa · Jidá, Arábia Saudita
Job Description
Role Purpose:
Regulatory Care Team member is responsible to manage and resolve members’ complaints (received from CHI and IA). He/she will conduct robust and consistent investigations (end-to-end) in order resolve the customer complaints in a timely manner, striving for a positive outcome for both the customer and the company as well as identifying recurring issues. He/she also will ensure that complaint handling processes are in compliance with relevant regulations and industry standards/KPIs, whilst promoting customer-centric culture across the organization, emphasizing the importance of resolving complaints and exceeding customer expectations.
Manage regulatory complaints
Build and maintain a strong and professional relationship with the Regulator
Conduct the required assessment and investigations.
Manage the end-to-end process and close the case within the agreed timelines.
Conduct QA/QC to ensure high quality responses.
Ensure all policies and procedures related to regulatory complaints are followed
Service excellence
Support efficiency workflows for the department with the needed/required tools, solution and technology to reduce manual workload and improve efficiency.
Collaborate with cross functional and external stakeholders to resolve service failures and prevent recurrences
Initiate and manage customer service projects/ KAIZEN related to regulatory care unit to drive transfomation and continious service improvements
Service delivery
Track internal department efficiencies and drive improvement initiatives including technology solutions or process improvement
Provide oversight to ensure the complaints management and recovery process works effectively within the Service Operations framework
Analysis and reporting
Circulate the assigned analysis and related reports
Conduct Ad hoc analysis when needed.
Identify trends or areas of improvement
Skills
Strong communication skills.
Excellent planning and execution skills.
Strong service focused mindset in combination with commercial skills.
Strong presentation and interpersonal skills.
Able to do multitask and work well under pressure and deadlines.
Strong problem-solving and Excellent follow up skills
Ability to effectively prioritize and execute tasks.
Excellent time management skills.
Excellent in using MS excel and PowerPoint.
Sobre o empregador

UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong SAR, Türkiye, Brazil, Mexico, the US, Middle East, Ireland, Saudi Arabia and India. · Reino Unido
Bupa's purpose is helping people live longer, healthier, happier lives and making a better world. We are an international healthcare company serving over 38 million customers worldwide. With no shareholders, we reinvest profits into providing more and better healthcare for the benefit of current and future customers. We directly employ around 85,000 people, principally in the UK, Australia, Spain, Chile, Poland, New Zealand, Hong Kong SAR, Türkiye, Brazil, Mexico, the US, Middle East and Ireland. We also have associate businesses in Saudi Arabia and India. For more information, visit www.bupa.com
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