Executive - Account Management

JD Account Management- Executive

Job Responsibilities: Client Servicing

• Key Responsibility: Respond to employee/corporate customer queries via e-mail/ phone in a timely and professional manner Coordinate with respective stake holders for cashless claim settlement and resolution Explain claim decisions, deductions and provide status updates clearly to customers and agents. Escalate unresolved issues following the defined escalation matrix to get quicker resolutions & communicate the same to the customers. Receive and verify the completeness of claim documents; advise on any pending or missing documents. Coordinate with the inward team for claim registration and ensure proper documentation flow. Allocate claims to the processing team for timely action. Liaise with the enrollment team to ensure policy registration for both cashless and reimbursement claims. Allocate claims to the processing team for timely action. Liaise with the enrollment team to ensure policy registration for both cashless and reimbursement claims. Monitor and follow up on all queries using claim numbers until full resolution. Maintain weekly reports detailing claims, queries, and their respective TATs

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.

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