Description
Responsible for managing and resolving customer grievances related to health claims operations, ensuring timely resolution and adherence to service standards. Coordinate with internal and external stakeholders, handle escalations, maintain accurate records, and deliver a positive customer experience while meeting regulatory and organizational requirements.
Responsibilities
- Manage customer queries related to health insurance claims through calls, emails, and other communication channels.
- Provide accurate information regarding claim status, documentation requirements, and policy advantages.
- Coordinate with internal teams to facilitate timely claim resolution.
- Maintain strong relationships with customers by delivering excellent service and support.
- Handle customer complaints professionally and ensure prompt resolution.
- Maintain records of customer interactions and follow-up activities.
- Ensure adherence to company policies, processes, and service standards
Qualifications
Any Graduate from a recognized university with relevant experience in grievance handling, CRM, health insurance, or claims operations.