Customer Support & Policy Guidance – Handle customer calls, explain health insurance plans, coverage, exclusions, and resolve queries.
Claims Processing – Verify documents and process cashless & reimbursement claims as per company guidelines.
Data Management – Update policy details, customer information, and claim status accurately in the system.
Renewals & Follow-ups – Remind customers about policy renewals and follow up for pending documents.
Compliance & Coordination – Ensure process compliance as per Insurance Regulatory and Development Authority of India guidelines and coordinate with internal teams for smooth claim settlement.