Roles & Responsibilities

• Manage end-to-end servicing for Health and Group Health policies, ensuring seamless customer experience.

• Verify claim documents, identify missing requirements, and ensure accurate and timely submission to insurers/TPAs.

• Manage enhancement requests and maintain timely, clear communication with TPAs, hospitals, and internal teams.

• Support hospitalization cases, including admissions, emergency approvals, coordination during treatment, and discharge processing.

• Coordinate additions, deletions, corrections, and card issuance for group policies in alignment with client HR and insurer/TPA teams.

• Work closely with Claims, TPA, Ops, and other internal teams to resolve pending issues and facilitate faster resolution.

• Handle and resolve queries and grievances raised by employees, HR teams, and customers within defined TAT.

• Provide clear guidance on required documents, claim processes, and policy coverage to ensure transparency and customer confidence.

Required Skills & Competencies

• Strong knowledge of health insurance, motor insurance, and group policies.

• Hands-on experience with claim documents, endorsements, TPA processes, and insurer coordination.

• Excellent communication skills—email, call, and client-facing interactions.

• Strong follow-up discipline and ability to work within strict TATs.

• Good MS Excel skills and experience managing MIS data.

• Problem-solving mindset and customer-first approach.