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Job details:
Key Result Areas
Supporting Actions
Renewal Data
Follow-up with the client for the policies to be renewed. Provide advice on any additional policies basis client demographics, business and other requirement
sFollow-up with the TPAs and insurance companies for the E-card generatio
nFollow-up with the insurance companies for policy copy of the renewal
sEnsure that policy copy in hard is provided to the client timel
yClaims suppor
tSupport for smooth cashless transactions, as require
dFollow-up with the insurance companies for reimbursements for cases other than the cashless one
sEnsure that all claim documents are received from the clients in time and follow-up for the same, as require
dEnsure that all claims are closed within TATs and do necessary follow-ups with insurers to ensure the sam
eGuiding Employees towards Hospitalisation, for availing cashless / reimbursement facilit
yGuiding on claims documentation submissio
nClient relationship managemen
tVisit client sites weekly basis to ensure that they are touch based periodicall
yTake up important client queries and discuss next steps with them during such visit
sTake client feedbacks on services of the TPAs for further PO
ASubmission of Report to clien
tMI
SMaintain tracker with all client services and their TATs, periodicall
yMaintain MoMs of all client meetings and ensure that they are closed before the subsequent meetin
gMaintain daily productivity data and share the same with higher-ups, as require
dMaintain monthly data of all claims (GMC, GPA & others
)Maintain and share escalation matrix with the clien
tWeekly meetings with TPA’s to improve TAT’S , Resolve any queries and escalation, if any etcc
…Presenting and explaining GMC policy to new joinee
s
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