Claims Processing Associate

Role & responsibilities

• Assisting associate on policy terms and conditions, including sum insured and eligibility and also, claim submission timelines.
• Assisting associate Hospitalization procedures and network hospital confirmation is also provided.
• Enrollment queries, especially for coverage of parents and newborn baby; along with the premium impact.
• Comfort being provided to employees in time of emergencies through phone & physical presence.
• Assisting Associate for reimbursement claims & cashless queries.
• Associates require support in understanding and filling the claim form and documents submission.
• Assisting associate for Ecard & necessary addition of members.
• Should have good communication skills , knowledge about policy coverage benefits.
• HR dependency on helpdesk person for necessary coordination pan India admissions & claims.
• Discussing problematic claims with HR for necessary support
• Most important, Human Touch and Building relationship with HR team & associates and Polite behaviour

Preferred candidate profile

• Bachelor's degree in any stream with 1+ years in client servicing, account management, or a related field.
• Exceptional interpersonal, listening, and verbal/written communication skills.
• Ability to remain calm under pressure and manage conflict effectively.
• Strong multitasking capabilities, problem-solving mindset, and proficiency in project management tools.

Interested candidates can call or refer to Moulika @[phone removed].