Account Manager (CRM)

Job Description

Role & responsibilities Job Title: Team Leader Account Management (CRM) Location: Konankunte Cross Company: Karthika Consulting & Solutions Pvt ltd Experience Required: 2-4 years in insurance, TPA, Indian Health Insurance/ hospital sector Job Responsibilities Client Servicing: Resolve policy holder queries within the Turnaround Time (TAT) and ensure a smooth claim process. Provide information to Policy holder and respond to their claim-related queries. Coordinate with policy holder/client for cashless claim settlement. Work closely with internal stakeholders such as the enrolment team, account management, claims, investigation, and support teams to settle claims. Transactional Activities Coordinate with Insurance company / TPA for Reimbursement claim settlement Allocate newly generated claims to the processing team for action. Handle coordination with Patients regarding claim-related queries and settlement (cashless/reimbursement). Coordinate with the Medical Officers team to ensure claims are approved within TAT. Provide timely claim status updates and properly explain query letters, settlement letters, and deductions to customers/agents. Required Skills & Qualifications Strong verbal and written communication skills. Excellent multitasking and problem-solving abilities. Experience in the insurance, TPA, or hospital sector is preferred. Ability to work collaboratively in a team Note : Candidate must have experience in the managing Indian Health insurance worked in Insurance company / TPA or hospital.