01Overview
Role & responsibilities
THIS WILL BE A VOICE BASED JOB ROLE.
Handle customer calls regarding health insurance claims and policy-related inquiries over calls.
Provide accurate information on claim status, claim requirements, coverage, and benefits.
Assist customers with claim submission procedures and required documentation.
Address customer concerns, complaints, and escalations professionally over phone calls and mails.
Maintain high standards of customer satisfaction and quality service through calling.
Update customer interactions and claim details in the system accurately.
Coordinate with internal teams such as claims processing, underwriting, and provider networks when required.
Ensure compliance with company policies, healthcare regulations, and data privacy standards.
Achieve individual and team performance metrics including quality, productivity, and customer satisfaction targets.