Senior Executive

3 days ago

Pune, Maharashtra, India Medi Assist Full time ₹ 1,04,000 - ₹ 1,30,878 per year

JD Account Management- Senior Executive

Job Responsibilities: Client Servicing

  • Receive and check claim documents for completeness and advice employees
  • regarding pending documents, if any.
  • Track and control documents to ensure TAT of claims/cards as per SLA.
  • Feedback from Insurers and Corporates.
  • Additional revenue opportunities from existing Corporates.
  • Respond to queries from the employees of the corporate through e-mails.
  • Maintain weekly reports on claims and queries and the TAT of the same
  • Escalate issues as per the escalation matrix.
  • To attend to any other assignments assigned to you from time to time.
  • Respond to queries from the employees of the corporate over Phone
  • Maintain weekly reports on claims and queries and the TAT of the same
  • Escalate issues as per the escalation matrix.
  • To attend to any other assignments assigned to you from time to time.

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 / 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.

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