15 Oct
|
Accurate Risk managers and Insurance Brokers
|
Pune
15 Oct
Accurate Risk managers and Insurance Brokers
Pune
Company: Accurate Risk Managers & Insurance Brokers Pvt. Ltd.
Location: Hinjewadi & PCMC Area, Pune
Department: Health Insurance / Employee Benefits
Position: CRM – Health Insurance / Medical Claims
Employment Type: Full-Time
Job Summary :
We are looking for a Client Relationship Manager (CRM) to manage day-to-day employee and client queries at client locations across Hinjewadi and PCMC areas. The role will primarily involve handling Health Insurance / Group Medical Insurance (GMC) and Medical Claims, coordinating with TPAs, insurance companies, hospitals, and internal teams to ensure timely resolution of queries and claims.
Key Responsibilities :
• Handle day-to-day health insurance and medical claim-related queries at client locations.
• Assist employees with cashless hospitalization, reimbursement claims, claim status, documentation, approvals, and settlements.
• Coordinate with TPAs, insurance companies, hospitals, and internal teams for claim resolution.
• Provide on-site support and guidance to employees regarding their Group Medical Insurance (GMC) perks.
• Follow up on pending claims and ensure timely resolution of open cases.
• Coordinate with the HR/Admin team at client locations for insurance-related matters.
• Maintain proper records of employee queries, claims, follow-ups, and resolutions.
• Escalate complex or delayed claims to the appropriate TPA, insurer, or internal team.
• Build and maintain a strong relationship with clients and employees.
• Ensure a high level of customer service and client satisfaction. Candidate Eligibility
• Minimum Qualification: Graduate in any discipline.
• Experience:
1–4 years of experience in Health Insurance / Medical Claims / TPA / Insurance Broking / Employee Benefits.
• Prior experience in Group Medical Insurance (GMC) and medical claims will be preferred.
• Candidate must have a valid two-wheeler driving licence.
• Candidate should have their own two-wheeler for travelling to client locations.
• Should be comf
📌 Customer Relationship Manager | General Insurance | Pune
🏢 Accurate Risk managers and Insurance Brokers
📍 Pune