(PE&O) Senior Associate (Total Rewards - Medical)

Overview

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:

• PepsiCo Locations- Medical Services Management:
• Administer end to end medical approvals cycle with the medical insurance provider.
• Conduct awareness sessions across PepsiCo 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 PepsiCo 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