POSITION PURPOSE & MANDATE
The Client Care Specialist plays a pivotal role in ensuring responsive
and high-quality service delivery within the International Operations Team.
Operating as the primary point of contact for clients, members, and service
providers, the incumbent is responsible for managing medical cases end-to-end –
from initial intake through resolution – while upholding the organization’s
service level agreements (SLAs) and quality standards.
This role demands a high degree of professionalism, empathy, and
composure, particularly given the sensitive and time-critical nature of
international medical case management. The specialist operates within a
rostered team environment on permanent night shifts, requiring adaptability,
sound judgment, and proactive collaboration.
KEY RESPONSIBILITIES
Case Coordination
- Create and register new cases in the system
accurately and in a timely manner.
- Coordinate and update existing cases, ensuring
completeness, accuracy, and compliance with internal processes.
- Coordinate teleconsultations, doctor house calls,
hospital admissions, and clinic appointments on behalf of members.
- Facilitate referrals to appropriate medical
providers in line with client protocols.
- Monitor case progression and proactively escalate
complex or high-risk cases to the Team Leader or Corfu Team which should
be outlined clearly in the shift handover of assistance provided and next
steps.
Client, Member & Provider Relations
- Respond promptly and professionally to all
client, member, and service provider inquiries across all communication
channels (phone, email, and system-based messaging).
- Ensure a consistent, empathetic, and
solution-oriented approach when handling sensitive medical situations.
- Build and maintain effective relationships with
service providers to facilitate smooth case coordination.
Administrative & Documentation
- Upload supporting documents and medical records
to claims files as required within established protocols.
- Handle and verify incoming invoices in alignment
with established procedures.
- Maintain accurate and up-to-date records across
all case management systems.
- Adhere to data protection and confidentiality
standards in all case-related activities.
- Perform ad hoc tasks and administrative duties as
directed by the Team Leader or management.
Quality & Compliance
- Consistently adhere to client-specific SLAs and
internal quality benchmarks.
- Participate in team meetings, briefings, and
performance review sessions.
- Contribute to continuous improvement by
identifying process gaps and suggesting enhancements.
- Remain up to date on product knowledge, internal
procedures, and any updates to client protocols.
SYSTEMS & TOOLS
|
System /
Tool
|
Purpose
|
|
AutoQ
|
In-house claims
management, client invoicing, and provider payment system
|
|
Gotrex
|
Case management
and operational workflow platform
|
|
Genesys
(formerly Interaction Desktop)
|
Telephony and
multi-channel communication platform
|
|
Office 365
(Word, Excel, Outlook, Teams)
|
Documentation,
reporting, internal communication and collaboration
|
KEY CHALLENGES
The following represent the most significant challenges inherent to this
role, requiring resilience, sound judgment, and strong interpersonal skills:
- Operating on permanent night shifts in a dynamic
and fast-paced environment while maintaining consistent service quality.
- Managing multiple simultaneous cases across
different clients, countries, and urgency levels with competing deadlines.
- Coordinating with international medical providers
across different time zones, languages, and healthcare systems.
- Adapting quickly to evolving client protocols,
system updates, and operational changes with minimal disruption to service
delivery.
- Ensuring accuracy and completeness of
documentation under time pressure, particularly during high-volume
periods.
SUCCESS MEASURES & KEY PERFORMANCE INDICATORS
|
Key Performance
Area
|
Success Measure
/ KPI - Measurement Parameter
|
Target to meet
|
|
SLA Adherence
|
100% adherence to
client-specific response and resolution SLAs
|
≥ 98%
|
|
Case Accuracy
|
Case records are complete,
accurate, and updated in real time; error rate < 2%
|
≥ 98%
|
|
Response Time
|
All client/member/provider
inquiries acknowledged within defined response time – less than 1hr
|
≥ 98%
|
|
Productivity
|
Number of Live emails
/ invoices processed
|
75 per day
|
|
Quality Scores
|
Consistent achievement of
quality audit scores
|
≥ 98%
|
|
Escalation Management
|
Timely and appropriate
escalation of complex cases with no missed critical thresholds
|
≥ 95%
|
|
Team Collaboration
|
Active contribution to team
handovers and shift briefings; positive peer feedback
|
≥ 98%
|
|
Continuous Improvement
|
Participation in process
improvement initiatives; documented suggestions or contributions
|
As required and
ongoing
|
KNOWLEDGE, SKILLS & ATTRIBUTES (KSA)
Knowledge
- Working knowledge of the insurance sector and
patient coordination processes.
- Understanding of health insurance claims
processing and SLAs
- Familiarity with European and international
healthcare systems and medical terminology.
- Knowledge of data protection and confidentiality
requirements in a medical/insurance context (e.g., GDPR).
Skills
- Excellent written and verbal communication in
English and French; additional languages are an asset.
- Strong organisational and multitasking skills
with the ability to manage competing priorities.
- Basic to Intermediate proficiency in Microsoft
Excel (data entry) and Word.
- Proficient in case management systems; ability to
learn and adapt to new platforms quickly.
- Strong problem-solving ability with sound
judgment in urgent and high-pressure situations.
- Ability to compose clear and professional written
correspondence.
Attributes & Personal Characteristics
- Empathetic and client-centric with a genuine
commitment to delivering excellent service.
- Reliable, accountable, and conscientious – takes
ownership of cases through to resolution.
- Flexible and adaptable – thrives in a shifting,
fast-paced, 24/7 operational environment.
- Collaborative team player who contributes
positively to team dynamics and morale.
- Demonstrates initiative and proactively seeks
solutions rather than waiting for direction.
- Resilient under pressure, particularly in
time-critical situations.
- Attentive to detail with a strong commitment to
accuracy and process compliance.
9. EXPERIENCE & QUALIFICATIONS
|
Requirement
|
Detail
|
|
Education
|
Diploma or
degree in a relevant field (Healthcare, Insurance, Business, or related);
equivalent experience will be considered
|
|
Experience
|
Minimum 1–2
years of experience in medical case coordination or a similar client-facing
role in healthcare or insurance
|
|
Language
|
Fluency in
English and French (written and spoken) is required
|
|
Technical
Skills
|
Basic to
Intermediate Microsoft Office proficiency; experience with case or claims
management systems preferred
|
|
Availability
|
Must be
available to work permanent night shifts (5 out of 7 days, rotating schedule)
|