Executive / Senior Executive (Account Management)

Medi Assist Insurance TPA Pvt Ltd

Suddagunte Palya, Bengaluru/Bangalore

₹16,000 - ₹25,000 monthly

Fixed

₹16000 - ₹25000

Earning Potential

₹25,000

Work from Office

Full Time

Min. 1 year

Good (Intermediate / Advanced) English

Job Details

Interview Details

Job highlights

Urgently hiring

65 applicants

Benefits include: PF, Flexible Working Hours

Job Description

Resolve customer queries within the turnaround time (TAT) and ensure a smooth claims process.
Provide information and respond to customers’ claim-related queries.
Coordinate with customers and agents for cashless claim settlements.
Work with internal teams (enrollment, account management, claims, investigation, support) to settle claims.
Prepare and manage monthly and weekly internal reports (8 reports, all manually managed).
Prepare daily annexures (5 annexures, 70% managed manually).
Manage daily activities in coordination with the Single Point of Contact (SPOC) and support other team members.
Coordinate with the internal team for error logs.
Coordinate with the inward team for claim receiving and registration.
Allocate new claims to the processing team for action.
Liaise with the enrollment team to register policies for cashless and reimbursement claims.
Coordinate with regional agents and customers for claim-related queries and settlements (cashless/reimbursement).
Answer incoming calls from customers, agents, and internal teams.
Track all customer queries with claim numbers and follow up to ensure resolution.
Coordinate with the cashless/pre-authorization team to ensure timely cashless approvals and provide claim status updates.
Explain query letters and settlement letters to customers and agents.
Send requests for raising SCR, reopening denied claims, uploading annexures for payment, confirming payment status, and ensuring reopened claims are processed.
Arrange documents from customers in regional languages if needed.
Explain required documents to customers and agents for claims under query.
Visit SBIG branch offices weekly to maintain relationships and resolve issues.
Respond daily on the Karnataka WhatsApp group.