To serve the customers well by delivering a high standard, efficient customer service and to represent the organization in the possible best way.
- Receive and check claim documents for completeness and advice employee regarding pending documents, if any.
- Track and control documents to ensure TAT of claims/cards as per SLA.
- Feedback from Insurers and Corporates.
- Additional revenue opportunities from existing Corporates.
- Respond to queries from the employees of the corporate through e-mails.
- Maintain weekly reports on claims and queries and the TAT of the same
- Escalate issues as per the escalation matrix.
- To attend to any other assignments assigned to you from time to time.
- Respond to queries from the employees of the corporate over Phone
- Maintain weekly reports on claims and queries and the TAT of the same
- Escalate issues as per the escalation matrix.
- To attend to any other assignments assigned to you from time to time.
- To coordinate with inward team for claim receiving and claim registration
- Allocating new generated claims to processing team for action
- Liasoning with enrolment team to register the policy for cashless and reimbursement
- Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement
- Answering incoming calls of all customers / agents / internal team
- Keep track of all customer queries with claim numbers and follow-up to verify that all queries are resolved.
- Coordinating with cashless / pre auth team to ensure cashless is granted within
- TAT and to provide timely claim status. Query letter / Settlement letter should be Explained properly to customers / agents on queries and deductions.
