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Account Manager / Client Servicing General Insurance Broker

Mumbai, MH
Job Code:
  • Insurance
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Job Details

Accountability Supporting ActionsTo be the Single point of contact for the Corporate customers related to EB claims To monitor the day to day servicing of clients, liaison with the Insurance company & TPA for Escalated/ Unresolved matters and coordinate with Sales team in terms of servicing their clientsTo manage the profitability and efficiency of operations for the multiple Employees Help Desks setup at Corporate clients pan IndiaTo arrange & conduct employee awareness programmes, demos for the EB Software for clients and educate them regarding the claims, distribute e cardsTo support the clients in representation & reconsideration for Repudiated claims, as requiredTo periodically review the communication between Clients and their employees and ensure Quick resolution to HR/Employee's issues raisedTo liaise for the inquiries received from Clients for Individual mediclaim, GMC, Motor policy, Travel policy, etc. and pass the referrals to the Marketing/ Retail teamsTo ensure timely completion of placement process for all new/ Renewal EB business; co-ordinate with Quotes team for getting all renewal details (e.g. . updated employee data, premium details, claim details, endorsement details)To undertake competitive benchmarking of products, offerings and productivity in the EB category and provide feedback to the Central teams for devising strategiesTo represent the Client for the dealings with the TPAs, Hospitals and Insurance Companies for the EB claim formalities and manage internal communicationsTo liaison with the Insurance company with regard to timely policy issuances & SLA signing, claim approvals, ensuring Insurance company's timely revert on critical issues with regard to policies/endorsements To ensure robust co-ordination with Hospitals for cashless processing, document retrieval, etc. requirements of the Employees of ClientsTo liaison with the TPAs for claims processing, follow up for non routine claims and reviewing SLAs for maintaining efficient servicing standardsTo ensure that the EB team undertakes regular trainings for the newer product offerings in the portfolio and reach out to the customers on the sameTo ensure seamless co-ordination with the Sales and Marketing, Quotes, claims, Back office and Product teams for various customer requirementsTo ensure highly efficient TATs for end to end Client servicing and management of EB claimsTo monitor process adherence at all ends in terms of TAT monitoring for Inward claim submission, TAT monitoring at TPA for settlement/deficiency raising, TAT monitoring at Insurance company for clearing TPA FloatsTo coordinate for approval of Non Intimation/ Delayed submission claims and also monitor TATs for answering clients queries/mails/calls on timeTo highlight the exceptional delays to the Respective agencies and internal Management teams and work out action plans to reduce the sameTo present detailed MIS on EB claims and ensure documentation To share monthly productivity metrics of the EB servicing and claims management teams in terms of SLAs, Customer satisfaction score, Claims to premium ratio, TATs and Rejections ratioTo review and present monthly MIS & TAT analysis coordination with TPA & communicate to clientsTo maintain CD Statement and provide the same to the corporate on monthly basis after analysisTo maintain monthly calculated endorsement data in prescribed manner along with calculatorsTo manage the documentation of Corporate files like Policy copy, endorsement copy, acknowledgement copies of policy and paymentsTo ensure maintenance of Daily Claim Inward Report and complete information in a soft data format for every Corporate (Policy copy, quote, coverages, Main list & Add/ Delete Lists for year)To ensure skill enhancement and team development of resources To develop a dedicated team with specialized skill-sets mapped to customer segments and support the HR teams in on boarding, training and hiring strategies To ensure regular internal & external training to channel partners & sales team in conjunction with HR, Research & Products teams.
Degree: MBA/ PGDM

Additional Degree: BA (Arts) | B.Com. (Commerce) | B.Pharm. (Pharmacy) | B.Plan. (Planning) | B.Sc. (Science) | BBA/ BBM/ BBS | BCA (Computer Application) | Diploma-Other Diploma | B.Ed. (Education) | BHM (Hotel Management)

Experience: 2-6


Admin/Facilities Mgmt | Compensation/Payroll | Employee Relations | Recruitment
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