a) Manage and optimize end-to-end user claims process, including evaluation, rejection, and appeal of claim cases within agreed timelines.
b) Careful usage of the claim payout expenditure, ensuring that it is kept within the approved annual budget, optimizing financial resources while maintaining high levels of customer satisfaction.
c) Manage high-priority and critical claims, ensuring swift and satisfactory resolutions while maintaining professional communication with customers.
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Process insurance claims accurately and within agreed turnaround times. Review and verify claim documents to determine eligibility and policy coverage.* Assess claims and calculate claim settlements based on company policies and procedures.* Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).* Handle customer inquiries via phone and email, providing timely and professional support.* Liaise with internal teams and external stakeholders to resolve claim-related issues.* Maintain accurate records and ensure high-quality claim processing.* Support ad hoc operational tasks as assigned.* Collaborate with the team to achieve departmental KPIs and service standards.
Process insurance claims accurately and within agreed turnaround times. Review and verify claim documents to determine eligibility and policy coverage.* Assess claims and calculate claim settlements based on company policies and procedures.* Ensure claims are processed in compliance with SOPs and service level agreements (SLAs).* Handle customer inquiries via phone and email, providing timely and professional support.* Liaise with internal teams and external stakeholders to resolve claim-related issues.* Maintain accurate records and ensure high-quality claim processing.* Support ad hoc operational tasks as assigned.* Collaborate with the team to achieve departmental KPIs and service standards.