International Business - Claims Service Support (CSS)

Join our dynamic international business team across Bangalore and Hyderabad

Summary:

We at Prudent Insurance Brokers, are seeking an experienced Employee Benefit-Claims Service Support professional for our International Business (IB) vertical. Employee Benefits Practice at Prudent is a strategic business unit dedicated to strengthening Prudent’s global brand in the international market. The individual will be responsible to Serve as primary point of contact for all employee claim queries etc. We are committed to delivering bespoke Benefit & Total Reward Solutions with high standards of service excellence, world-class advisory and consultancy support for MNC clients who have their operations in India. Our team forms a bridge of trust between the expectations of senior stakeholders globally and the seamless delivery of these best practices in India.

Roles & Responsibilities: •

1)

• Serve as primary point of contact for all employee claim queries and own the process of developing strong employee relationships & engagement

2)

• Ensuring employees understand the steps involved in both cashless and reimbursement claims.
• Offering exceptional support and guidance to employees/HR throughout the entire process to ensure a smooth experience.

3)

• To provide employees e-cards and information about network hospitals.

4)

• Addressing questions about claim status, claim deductions, and explanations of queries.

5)

• Co-ordinating with TPA daily to ensure the smooth functioning of employee-related queries

6)

• Daily tracking of claims on status/rejections/deductions and providing the report to MCS

Desired profile/who should join:

• Good listening & communication skills
• Should have good technical knowledge about Employee health Insurance/ General Insurance products. (Cashless/Reimbursements)
• Experience in General Insurance/ Insurance Brokers
• Years of experience: 2 to 5 years
• Education qualification: Bachelor's Degree, Master's Degree
• Good knowledge of the TPA/Insurance processes
• Well-versed in health insurance policy conditions
• Well-versed with current medical practices & advancements
• Should know about IRDAI health regulation

with the subject ‘’Claims role_*Location*’’Role & responsibilities