Job role- Customer Care Executive-

Key Responsibilities:

1. Operational / Functional
- Manage high volumes of inbound and outbound calls efficiently.
- Adhere to predefined communication scripts across diverse topics.
- Provide accurate information to customers, hospitals, and branches regarding policy terms, member status, and claim status.
- Greet and engage customers professionally using approved scripts.
- Respond to telephonic and email queries promptly.
- Identify customer needs, clarify information, research issues, and offer effective solutions or alternatives.
- Build solid, sustainable customer relationships by delivering an exceptional experience.
- Maintain accurate records of all interactions in the call center database.
- Participate regularly in training programs to enhance knowledge and performance.
- Meet individual and team qualitative and quantitative targets.
- Escalate queries to team leaders when required.
- Ensure fair treatment of customers in line with regulatory and company standards.
- Handle claimrelated complaints with empathy and efficiency.




- Guide customers through claims processes, including documentation requirements.
- Provide clear explanations when a claim is not covered.

2. Complaints Management and Grievance Redressal (20%)
- Monitor and resolve regular and escalated Health Claim complaints within defined timelines.
- Coordinate with relevant stakeholders for timely escalation management and query resolution.
- Manage NPS (Net Promoter Score) data in collaboration with Underwriting, Operations, and IM teams to ensure data accuracy.
- Drive reduction in customer complaint volumes.

Educational Qualifications
- 10+2, 10+3 years full time Diploma + Graduate in any discipline (graduates preferred).
- Freshers may be considered if strong customer service skills are demonstrated.

Core Experience
- Experience in a call center or customer service function within a TPA or an inhouse setup of a general/health insurance company.
- Ex

📌 Customer Care Executive (Pune)
🏢 SBI General Insurance
📍 Pune