21 Oct
|
MDI NetworX
|
Pune
Role & responsibilities
- Respond to member inquiries related to benefit plans, coverage details, eligibility, and claim status.
- Assist employees during open enrollment periods by explaining benefit options, enrollment processes, and deadlines.
- Guide members through benefit navigation and help resolve routine benefit-related concerns.
- Escalate complex cases and coordinate with back-office teams to ensure timely issue resolution.
- Maintain accurate records of member interactions and service requests.
- Ensure adherence to client-specific procedures, quality standards, and service level agreements.
Preferred candidate profile Must-Have Skills
- Strong customer service and call handling skills.
- Excellent verbal and written communication abilities.
- Ability to effectively manage client inquiries and resolve issues professionally.
- Strong documentation, data entry, and record management skills.
- Attention to detail and accuracy in handling customer information.
- Ability to multitask and work in a fast-paced setting.
- Strong problem-solving and coordination skills.
- Proficiency in Microsoft Office applications, particularly Outlook, Word, and Excel.
- Ability to work collaboratively with cross-functional teams.
Nice-to-Have Skills
- Experience in US Employee Benefits Administration or Commercial Insurance operations.
- Knowledge of Health, Dental, Vision, Disability, Retirement, and Group Life benefit plans.
- Familiarity with Commercial Insurance products such as General Liability (GL), Workers' Compensation (WC), Errors & Omissions (E&O;), and Cyber Insurance.
- Understanding of Certificate of Insurance (COI), Endorsements, and First Notice of Loss (FNOL) processes.
- Experience working with insurance administration, CRM, HRIS, or benefits management platforms.
- Exposure to Insurance BPO or Shared Services environments.
📌 Associate/Sr. Associate (Pune)
🏢 MDI NetworX
📍 Pune