Claims Executive Responsibilities:Receiving and answering emails, telephone calls related to claimsAdvice policyholders on claim procedureEnsure fair settlement of a claim with TATManage all administration aspects of the claimAdhere to legal requirements, industry regulations and customer quality standards set by the company.Handle any complaints associated with a claimClaims Executive Requirements:A bachelor's degree in any discipline.At least 2-4 years' experience as a claims handler or a similar role.Excellent time management skills and organizational abilities.Top-notch client interaction skills.Ability to work in a high-pressure environment.A general understanding of insurance terminology and abbreviations.Attention to detail and process-orientated thinking.The ability to work independently and multitask.Proficient in basic computer handling.

1. Ensure customer satisfaction of the highest order for all medical projects and services as assigned by the organization.2. Maintain and continually improve the quality of medical service delivery.3. Ensure that there is alignment and cooperation between medical team and operations team for seamless execution of designated projects and services.4. Scrutiny of medical documents and adjudication of the international travel insurance policy holders.5. Assess the eligibility of international travel insurance related medical claims and determine financial outcomes.6. Determine accuracy of medical documents.7. Processing the case as per policy terms & condition of the respective insurance companies. 8. Coordinating & communicating with the other departments for processing the claim.9. Coordinating with insurance company for specific approvals.10. Handling the grievance related to the medical rejection/ denial of the Cashless request as well as re-reimbursement claims.11. Providing the Quality services by keeping the minimum TAT.12. Involved in Analyzing Medical Reports to Process Medical Claims.13. Any other roles and responsibilities assigned form time to time related to the medical projects being managed by the organization beyond international travel insurance.Education and experience:BAMS/BHMSMust having experience with TPA.

Collect, analyze, and interpret data from various sources to generate accurate and timely reports.Design, develop, and maintain databases to store and retrieve data efficiently.Implement and manage data management systems to ensure data accuracy, integrity, and security.Create data visualization dashboards and reports to provide clear insights to stakeholders.Collaborate with cross-functional teams to understand reporting requirements and deliver analytical solutions.Identify data trends, patterns.Stay up-to-date with the latest trends and technologies in data management.Preferred Experience :Good knowledge for excel.

Falck is looking for a Senior Customer Service Executive to join our Assistance team to handle calls from customers and provide support to them in the event of illness or accidents while travelling worldwide.You are required to answer telephone calls, respond to emails, and ensure appropriate assistance service are delivered in a timely manner. You can expect a long term and stable career with learning and growth opportunities.Desired Candidate ProfileA minimum of 3 years experience with previous customer service and Health care experience, preferred.Excellent interpersonal, written and oral communication skills (Fluent in English).Proficient with MS Office and the ability to navigate multiple platformsCapacity to navigate stressful situations with ease.Ability to work as part of a team.Available to work in day and night shifts.University/college degree in any stream.Remuneration:Best in the industry.