Job Description
- Client Servicing
- Resolving customer queries within TAT and ensuring smooth claim process
- Providing information to the customers and to respond to their claim related queries
- Coordinating with the customers / agents for cashless claim settlement
- Coordinating with internal stakeholders like enrolment,
- Account management, claims, investigation, support team to settle claims
Transactional Activities
To coordinate with inward team for claim receiving and claim registrationAllocating new generated claims to processing team for actionLiasoning with enrolment team to register the policy for cashless and reimbursementCoordination with regional agents, customers for claim related queries, settlement queries- cashless / reimbursementAnswering incoming calls of all customers / agents / internal teamKeep track of all customer queries with claim numbers and follow-up to verify thatall queries are resolved.Coordinating with cashless / preauth team to ensure cashless is granted withinTAT and to provide timely claim status. Query letter / Settlement letter should beexplained properly to customers / agents on queries and deductions.Skills Required
TPA, Client Relationship Management, TAT