Crm Executive Job openinng - (Query resolution) - Bangalore - TPA

Job Responsibilities :

• Resolving customer queries within TAT and ensuring smooth claim process
• Providing information to the customers and to respond to their claim related queries
• Coordinating with the customers/agents for cashless claim settlement
• Coordinating with internal stakeholders like enrolment,
• Account management, claims, investigation, support team to settle claims

Transactional Activities

• To coordinate with inward team for claim receiving and claim registration
• Allocating new generated claims to processing team for action
• Liasoning with enrolment team to register the policy for cashless and reimbursement
• Coordination with regional agents, customers for claim related queries, settlement queries- cashless /reimbursement
• Answering incoming calls of all customers / agents / internal team
• Keep track of all customer queries with claim numbers and follow-up to verify that all queries are resolved.
• Coordinating with cashless / pre auth team to ensure cashless is granted within

TAT and to provide timely claim status. Query letter / Settlement letter should be explained properly to customers / agents on queries and deductions

Thanks & Regards

Hariprasad