CRM

Role & responsibilities

Respond to employee/corporate customer queries via e-mail/ phone in a timely and professional manner

Coordinate with respective stake holders for cashless claim settlement and resolution

Explain claim decisions, deductions and provide status updates clearly to customers and agents.

Escalate unresolved issues following the defined escalation matrix to get quicker resolutions & communicate the same to the customers.

Receive and verify the completeness of claim documents; advise on any pending or missing documents.

Coordinate with the inward team for claim registration and ensure proper documentation flow.

Allocate claims to the processing team for timely action.

Liaise with the enrollment team to ensure policy registration for both cashless and reimbursement claims.

Allocate claims to the processing team for timely action.

Liaise with the enrollment team to ensure policy registration for both cashless and reimbursement claims.

Monitor and follow up on all queries using claim numbers until full resolution.

Maintain weekly reports detailing claims, queries, and their respective TATs

Preferred candidate profile

Candidates with Client management background

TPA experience will be preferred.

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