Policy and Contracts Administration Executive

• Provide full administrative support to clients & intermediaries.
• Review all documents received and enter data in the healthcare systems while ensuring a high level of accuracy within the time frame as per the agreed SLAs
• Ensure regulatory compliance is achieved through continuous monitoring and reporting of process, procedures, and systems gaps.
• Maintaining physical or electronic records related to medical insurance policies & maintenance requests.
• Upload member data files to regulatory systems ensuring compliance with regulatory directives.
• Upload PBM membership data to the partner system
• Liaise with cross-functional teams for customer service, medical and health on track-related queries.
• Ensuring customer, client, and broker are at the center of day-to-day activities to meet evolving needs and expectations.
• Carrying out translation work on policy contracts and other marketing collaterals
• Preparing a list of translated materials and topics, classifying them, indexing, and documenting them to facilitate reference when needed.
• Determining the texts and materials to be translated and supervising the organization and documentation of all data and records related to translation.
• Performing any other work related to the nature of work upon assignment, including but not limited to Pre-Inception as well as quality validation of data and documents pertaining to EB policy onboarding.
• Ensure Full compliance with regulation and company standards for operational risk.

Operational & Technical Responsibilities:

• The role will act independently and autonomously in pursuit of the KPIs and strategic objectives of the function.
• To ensure proper relationship is required to build and maintain with internal stakeholders /CHP/EB OPS and Government relations.