Health Facilitator Officer

A reputable insurance company based in Kotli, Azad Jammu & Kashmir, is seeking a dedicated Health Facilitator Officer to join their team. This role involves coordinating healthcare services for insured members, ensuring smooth communication between clients, healthcare providers, and internal teams. The position offers a competitive monthly salary of up to Rs. 54,000 and requires the candidate to work on-site.

Key Responsibilities:
- Coordinate healthcare services and support for insured members to facilitate access to benefits.
- Address customer inquiries related to health insurance coverage and benefits promptly and professionally.
- Liaise with hospitals and healthcare providers to obtain necessary approvals and arrange services.
- Assist in processing pre-authorizations, claims, and managing medical documentation accurately.
- Monitor and follow up on pending cases to ensure timely resolution and customer satisfaction.
- Maintain detailed and accurate records while collaborating closely with internal medical and claims departments.

Required Qualifications:
- Bachelor’s degree in Healthcare, Business Administration, or a related discipline is mandatory.
- Between 1 to 3 years of relevant experience in health insurance, Third Party Administration (TPA), hospital coordination, or medical claims processing.
- Strong communication skills with the ability to coordinate effectively among various stakeholders.
- Proficient in MS Office applications to manage documentation and reporting efficiently.
- Ability to work in person at the Kotli GPO location.

This role is ideal for candidates who are organized, proactive, and possess excellent follow-up skills to ensure seamless healthcare facilitation. The position offers a stable work environment within a respected insurance company and the opportunity to contribute meaningfully to customer service and healthcare coordination.