Niva Bupa is hiring Medical Customer Support Executive

About the Role:

We are seeking a highly motivated and experienced individual with a medical background to join our dynamic team as a Medical Claims Call Center Representative. In this role, you will be the frontline of our customer service, handling inbound calls related to medical claims and rejections. Your primary focus will be to provide exceptional customer service while resolving inquiries and concerns effectively, ensuring a positive experience for every Niva Bupa member.

Key Responsibilities:

• Answer incoming customer calls promptly and professionally.
• Assist customers with navigating medical claims, including inquiries about submissions, rejections, and procedures.
• Provide accurate and detailed information about claim processes, documentation requirements, and insurance coverage.
• Investigate and resolve customer concerns with a focus on high satisfaction and clear communication.
• Collaborate with internal departments like claims processing to address complex issues and expedite resolutions.
• Maintain extensive knowledge of Niva Bupa products, medical billing codes, and claim procedures.
• Document customer interactions and update records accurately in our system.
• Identify and escalate critical or unresolved issues to the appropriate supervisor.
• Adhere to company policies, procedures, and compliance guidelines.

Key Requirements:

• Education & Certificates: B.Pharm & M.Pharm.
• Minimum 1-3 years of call center experience, preferably in healthcare or medical insurance.
• Strong knowledge of medical terminology, insurance claim procedures, and billing codes.
• Excellent verbal and written communication skills.
• Ability to handle high call volumes and prioritize customer needs effectively.
• Strong problem-solving and decision-making abilities.
• Attention to detail and accuracy in data entry and documentation.
• Exceptional customer service skills with a friendly and professional demeanor.
• Proficiency in computer systems, including CRM software and Microsoft Office Suite.
• Ability to work effectively in a team-oriented environment.
• Flexibility to work various shifts as per business requirements.