
Executive / Sr. Executive PWD Hiring | Leading Insurance Company
7 days ago
Role & responsibilities
- • Answer incoming customer calls in a professional and timely manner.
- • Assist customers with inquiries including medical claims and rejections.
- • Provide accurate and detailed information about claim procedures, documentation requirements, and coverage.
- • Investigate and resolve customer concerns, ensuring high levels of customer satisfaction.
- • Collaborate with internal departments, such as claims processing to address and resolve complex issues.
- • Maintain thorough and up-to-date knowledge of products, medical billing codes, and claim processes.
- • Document customer interactions and update customer records accurately in the system.
- • Identify and escalate critical or unresolved issues to the appropriate department or supervisor.
• Adhere to company policies, procedures, and compliance guidelines.
Preferred candidate profile
Any Life science, Paramedical, Medical Graduates and Post Graduates (Pharmacy, Physiotherapy, Nursing, Health education) or equivalent degree
Key requirement
- • A minimum of 1-3 years of experience in a call center environment, preferably in a healthcare or medical insurance setting.
• - Strong knowledge of medical terminology, insurance claim procedures, and billing codes.
• - Ability to contribute to revenue basis cross sell.
• - Excellent verbal and written communication skills.
• - Ability to handle high call volumes and prioritize customer needs effectively.
- • Strong problem-solving and decision-making abilities.
- • Attention to detail and accuracy in data entry and documentation.
• - Exceptional customer service skills with a friendly and professional demeanor.
• - Proficiency in using computer systems, including customer relationship management (CRM) software and Microsoft Office Suite.
• - Ability to work effectively in a team-oriented environment.
• - Flexibility to work shifts as per business requirements.
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