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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
Client, Member & Provider Relations
Administrative & Documentation
Quality & Compliance
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:
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
Skills
Attributes & Personal Characteristics
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) |