Claim Executive (Hotline)

Job purpose

- To handle calls, inquiries and provide customers with support and consultancy relating to Health and Life claims to push expertise for prompt and accurate assessment and excellent services.

Accountabilities

- Collaboration and maintaining good relationship with cross departments/functions to smoothly solve all claims- related issues and reach claims objectives.
- Updating completed and accurate information on customers/ sales/hospitals interaction in system promptly and accurately.
- Handling 24/7 inbound and outbound calls about customers and sales’ Health and life claims concerns, enquiries, and complaints in a timely manner and in accordance with company’s policy, providing right information, appropriate solutions, and alternatives.
- Handling hospitals/medical providers’ enquiries for arrangement of direct billing services to DLVN’s clients.

Technical skills

- Knowledge of Psychology and Behavior.
- Knowledge of medical, law of insurance, insurance product is preferable.
- Bachelors’ degree in sociology, law or equivalent.
2- 3 years of equivalent experience as claims, customer care, customer service, …

Personal attributes

- Controlling communication
- Eotional intelligence
- Strong knowledge of claim operations & process
- Identify and problem- solving.
- Negotiation for result

Challenges

- Communication for success
- Collaboration across functions
- Proficient in using MS 365 office

Education and Experiences

- Professional and respectful manner
- Proactive & flexibility
- Have A Soothing, Calming, Relaxing Voice
- Customer service- minded

Soft skills

- Capable work night shifts
- Learn quickly to be able to master information and terms, procedure, conditions, regulations…
- Working under high pressure (regularly receiving difficult customers who can’t control their behavior and language).
- Regularly race against time to ensure timely responses to customer inquiries.

Cập nhật gần nhất lúc: 2024-04-03 11:51:18