The HR Operations Coordinator – Medical Services will be responsible for executing the administrative work related to medical insurance and managing the nursing staff in Plants and DCs related processes to be completed for the respective process based on the agreed service catalog and SLAs under direct supervision of the manager. The role requires strong process orientation and SLA adherence
Responsibilities:
Medical Administration:
Pepsi Co Locations- Medical Services Management:
Administer end to end medical approvals cycle with the medical insurance provider.
Conduct awareness sessions across Pepsi Co locations to explain the medical services.
Coordinate with the direct supervisor to select random samples to conduct drug tests monthly.
Address queries related to medical services and processes raised from employees.
Medical Cards Activation/Deactivation:
Conduct Medical onboarding checkups for the hires.
Administer Medical card issuance process for new employees and beneficiaries’ additions.
Build the medical database sent by the direct medical supervisor and update it daily.
Guide and support employees on medical insurance application additions.
Manage deactivations for leavers and administer the process with the medical insurance provider.
Medical Claims Reimbursement:
Support and guide employees on online claims reimbursement submission through online application.
Follow up on medical claims reimbursement process with the medical insurance provider.
Review the claims received from the medical provided and submit to payroll team for payroll cycle processing.
Communicate the medical claims reimbursements and respond to inquiries raised from employees.
Monthly Chronic Medications:
Manage monthly chronic medication requests raised from employees.
Submit chronic medication requests on regular basis with the medical insurance provider.
Follow up on the monthly chronic treatment and review the amendments
Ensure medicines are dispatched within the agreed SLAs to Pepsi Co locations.
Execute end to end invoicing process for medical services provided.
Monthly medical cases reassessment:
Follow up on existing medical cases and assess cases with the medical consultant
Manage end-to-end process until results are received and communicate with the employees on the process steps.
Doctors and nurses Attendance:
Administer doctors and nurses attendance in locations and ensure following the annual visits plan.
Review with the third party provider the doctors and nurses attendance per region to ensure compliance with the internal processes.
General
Deliver services at the defined at the SLAs/KPIs and drive operational efficiency and continuous improvement
Ensure a consistent and high level of customer service and operational excellence that will ensure transactions are resolved efficiently and in full compliance with relevant legal, company and process requirements
Partner with team to execute plans to improve customer satisfaction with a focus on processes
Manage escalation and takes ownership for ultimate issue resolution
Ensure smooth on-boarding, training, process and support documentation and aids for colleagues as needed
Ensure knowledge management platform is updated
Qualifications:
Fresh Graduate with a University Degree
Service management and ticket management system experience -preferable
Customer orientation
Process management and continuous improvement with a focus on optimization and productivity
Technical / Functional Skills & Knowledge of HR Tools and Interfaces
Fair English language skills
Strong communication skills
Demonstrated track record of strong service delivery
Ability to work with different geographies and cultural experience sensitivity
We regret to inform you that this job opportunity is no longer available