Insurance Claim Specialist (Indian Insurance industry)

As an Insurance Claim Executive, you will serve as a reliable resource for our subscribers, assisting them with any concerns related to their health or health benefits. Your role will involve guiding subscribers to access appropriate care when needed. You will engage with subscribers through various communication channels like inbound/outbound calls and chat, taking a comprehensive approach to understand their requirements and provide solutions. By delivering interventions, you will help subscribers navigate the complexities of the healthcare system, aiding them in making informed medical decisions by connecting them with the right clinical resources. Utilizing technology and internal tools, you will analyze the subscribers" path, determine necessary actions, and identify the next steps to ensure effective support. Your efforts will contribute to enhancing subscriber outcomes, leading to improved financial results by guiding them on appropriate healthcare utilization, optimizing benefit packages, and collaborating with third-party vendors. Moreover, you will focus on creating a personalized and memorable experience for subscribers, building relationships through active listening, honesty, and empathy. We are seeking candidates with language proficiency in Kannada and Hindi, along with a Bachelor's degree, diploma, or relevant experience in the hospital/healthcare/insurance sector. The ideal candidate will thrive in a performance-driven environment, demonstrate a high level of personal accountability, and possess multitasking abilities in handling multi-channel communications effectively. Furthermore, critical thinking skills with empathy, commitment to quality and continuous improvement, proficiency in Microsoft Office tools, and comfort in remote working setups are essential. Desirable personal characteristics include strong self-management, exceptional written and verbal communication skills to engage with individuals at all organizational levels, adaptability to changing environments, resilience in meeting deadlines under pressure, and a data-driven approach to achieve optimal outcomes for clients. Detail-oriented, inquisitive, and a problem-solving mindset will be beneficial, along with the ability to collaborate effectively in a team setting.,