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 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 / preauth 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.
Skills Required
Sla, Kra, IT, TPA
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Crm • Mumbai
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