Job Description

JD - CRM / Team Leader

Job Responsibilities

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 registration

Allocating new generated claims to processing team for action

Liaison 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.

Send request emails to team for raising SCR, Reopening of denied claims, uploading annexures for payment, confirming with team in case of payment failure, ensuring reopened claims are moved to LC for processing

Arranging documents in regional language from customers for claims under deficiency in case of language barrier

Explaining and educating customers / agents about the meaning of required documents raised under query

Weekly visit to Client offices to maintain relationship with the insurer and to resolve open issues

Job Type: Full-time

Pay: From ?350,000.00 per year

Benefits:

• Provident Fund

Experience:

• Customer service/Customer Relationship: 3 years (Required)
• TPA: 2 years (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: In person