Hiring For Health Care Customer Service Representative - Hyderabad

Job Description

JOB DESCRIPTION This role involves delivering exceptional customer service, primarily through inbound calls, addressing inquiries about healthcare policy provisions from employer-provided plans. Outbound calls are also conducted as dictated by client-specific processes. Work-Life Balance : Enjoy a 5-day work week with 2 rotational days off Global Shift Alignment: Work primarily during US business hours. Compensation & Perks: Competitive annual CTC ranging from 5 lakh to 5.5 lakhs per annum Free transportation service available for commutes within a 30km radius Education High School Diploma or equivalent required or any degree preferred. Experience We are hiring both fresher and experienced (should possess excellent communication skills in English ) Skills & Knowledge Fluent in business English (written and spoken). Key Responsibilities Include : Information Delivery: Providing accurate and comprehensive benefits and claims information to customers. Query Resolution: Responding to telephone requests concerning policy coverage, claim status, and other policy-related inquiries. Research & Support: Researching and discussing options regarding various aspects of an insured's policy and provider information, such as claim status and PDP application status. System Navigation: Efficiently accessing and utilizing multiple electronic systems to provide complete and accurate responses. Claim Adjustments: Researching and executing correct procedures for sending notifications when claim adjustments are necessary. Relationship Management: Enhancing and strengthening the relationship between the customer and MetLife. Provider Interaction: Clearly understanding and responding to providers in a dynamic, fast-paced environment, while promoting MetLife's quality image. Professional Conduct: Performing all responsibilities consistently and professionally, utilizing strong verbal, interpersonal, and quality service skills. Multichannel Support: Handling inbound customer calls courteously, timely, and professionally, including managing inquiries via email and live chat. Active Listening & Problem Solving: Actively listening to customers, understanding their needs, and resolving issues effectively. Escalation Management: Escalating customer issues to appropriate staff and management for resolution as needed. First Call Resolution: Ensuring first call resolution through effective problem-solving and call handling. Process Adherence: Strictly following client program processes and performing all tasks courteously and professionally. Knowledge Utilization: Utilizing knowledge base resources and training to accurately answer customer questions. Record Keeping: Creating and maintaining accurate customer records with detailed call information. Documentation: Accurately documenting call resolutions in the appropriate systems. Financial Compliance: Strictly adhering to client processes for handling financial issues and inquiries. Confidentiality: Complying with all requirements concerning confidential and personal information. Policy Adherence: Following all required scripts, policies, and procedures. Schedule Compliance: Adhering to all attendance, work schedule, and scheduled training requirements. To Apply contact (Hr Prince) 9790882034) and share your updated cv to the mentioned contact number