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Claims agent for Tempo Wellness Programme

The claims agent for Tempo Wellness Programme explains statements and chases the documents a claim is waiting on.

Ridgeway LogisticsClaims agentWhatsApp
  1. Customer: Why do I still owe R640 on this?
  2. Read statement dated 3 OctoberTempo Wellness Programme
  3. Claims agent: Your scheme paid R1,560 of the R2,200 specialist bill, at the scheme’s rate. The R640 left is the specialist charging above that rate. You could ask the rooms if they’ll accept the scheme rate.
  4. Customer: Can you ask them?
  5. Claims agent: I can draft the message for you to send, with the claim details. Want it?
Sample conversation. People, brands and figures are made up.

What it can do with Tempo Wellness Programme

  • Explains Tempo Wellness Programme statements line by line and chases missing claim documents
  • Save that the member is on Tempo Wellness Programme so every answer starts from it
  • Explain how Tempo Wellness Programme rewards are earned and claimed, from the programme’s published rules with the date they were checked
  • Remind the member of yearly goals before they reset, and suggest one thing to do this week

Questions

What does the claims agent do with Tempo Wellness Programme?

Explains Tempo Wellness Programme statements line by line and chases missing claim documents.

Is the Tempo Wellness Programme connector live?

Yes.

Does the claims agent change claim outcomes?

No.

Does the agent decide Tempo Wellness Programme claims or authorisations?

No.

Can HR see what staff say to the agent?

No.

Ollie’s agents give wellness guidance. They don’t diagnose or prescribe, and hand off to a human expert when needed.