About this role
Lead the Employee Benefit Insurance After Sale team including Data and Claim teamResponsibilities of After Sale team include processing claims, assist clients with endorsements, documents and data keepingOversees insurance claims that are in progress to make sure claim decision come out according to SLA and claim appraisal result is justified according to the agreed TCAssist clients who are admitted to hospital by coordinating with insurance and hospitals when necessaryMake daily, weekly, and monthly report for claim updatesCustomer care helpline – 24 hoursDevelop and maintain relationships with insurance companies’ claim departmentsNegotiate and appeal rejected claims with insuranceMonitor endorsement process and make sure SLA is achievedCheck and make sure member cards are correct and send them to the clients on timeAssist with client closing process by coordinating with insurance and making sure the policy T and C is as per agreedPut in place control mechanisms that enable achievement of high levels of customer satisfaction.Ensure quality and service excellence to clients and 5/5 client satisfactionContinuously improve current systems and processesPromote a culture of high performance and continuous improvement that values learning and commitment to quality. More than 5 years experience as Claim Manager in insurance or brokerage firmsHave good relationships with insurance companiesExcellent in communication, negotiation, and persuasion skillsStrong adherence to SLA and maintaining clients expectationsAble to respond to clients inquiry with lightning speed and accuracyStrong understanding of insurance terms and conditions and claim appeal processBackground in medicine is preferred but not a must