Email Support (Analyst) - Healthcare Insurance, Pune

Job Description

Role & responsibilities MOL and Live Chat Process The process involves addressing end to end inquiries related to Members (Health insurance) preauthorization, policy servicing, claim assessment, complaints, and any other policy and claimsrelated queries through Live chat or email. These professionals are required to have a complete understanding of all the products/services portfolio to aid in responding to queries. Job Description • Seeking bright, articulate, detail-oriented candidates with a desire to help us exceed our customers expectations. Our Member Online and Live Chat team plays a critical role in delighting our customers through delivering timely, accurate, and professional service via email and Live Chat. • Need to a have deep understanding of health insurance policies, procedures, and claim processing to provide accurate and timely assistance to members. • Understanding of the life cycle of the AXA Health insurance claims life cycle from Policy Servicing, Underwriting, Pre-authorization, Assessment, Complaints. Provider sourcing etc., • Collaboration with internal teams will be essential to resolve complex member issues and will be expected to escalate cases when necessary to ensure timely resolution. • Require accurately documenting member interactions and information for tracking and reporting purposes. • Create a Complaint log where the member expresses dissatisfaction regarding the services. • Handle customer complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution. • Ensure compliance with company policies, procedures, and regulatory requirements while assisting members with their inquiries. • Stay always updated with companys new product/services and policies. • Meeting individual and team-based productivity targets, including the handling of a minimum of 2 concurrent chats while maintaining high-quality service. • Achieving and maintaining a customer satisfaction rating of 95+ • Meeting response time targets for live chat and email inquiries, with an average response time of 2 mins or less for live chat and less than 24 hours for emails. • Demonstrate a customer-centric approach by maintaining a positive and professional demeanor during all customer interactions. Preferred candidate profile Graduate / post-graduate degree. • Typing Proficiency: 40-60 wpm. • Excellent communication skills with a strong command of written language as this process requires interaction with UK Customers (Communicate professionally, use proper grammar, punctuation, and spelling in complete) • Competent in MS office and web browser environments. • Work in rotational shifts between 07:30 AM to 1:30 AM (IST), Monday to Sunday. • Weekly off - 2 days