Client Service Executive

Family Health Plan (FHPL); Coimbatore District; On-site; INR 300,000 - 540,000; Full time

Job summary

Family Health Plan (FHPL) is seeking a professional in Coimbatore region to assist associates with policy terms, eligibility, and claim timelines. The role emphasizes support on enrollment, hospitalization procedures, and network hospital confirmation. Strong communication and HR coordination skills are essential for pan-India interactions.

The ideal candidate has 1+ year in Insurance TPA and a graduate degree, ready to provide empathetic, accurate service to employees and HR teams.

Qualifications

• Knowledge of policy coverage and benefits.
• Experience with hospitalization procedures and network hospitals.
• Strong communication and HR coordination skills.
• 1+ year experience in Insurance TPA preferred.

Responsibilities

• Assist associates with policy terms, sum insured, and eligibility.
• Support enrollment queries and premium impact discussions.
• Guide associates on claim submission timelines.
• Assist with reimbursement and cashless queries.
• Provide timely helpdesk support and HR coordination pan India.
• Foster professional relationships with HR and associates.

Skills

Policy terms

Claims processing

Customer support

Communication skills

HR coordination

Education

Graduate degree

Job description

Role & responsibilities

• Assisting associate on policy terms and conditions, including sum insured and eligibility and also, claim submission time-lines.
• Assisting associate Hospitalization procedures and network hospital confirmation is also provided.
• Enrollment queries, specially for coverage of parents and new born baby; along with the premium impact.
• Comfort being provided to employees in time of emergencies through phone & physical presence.
• Assisting Associate for reimbursement claims & cashless queries.
• Associates require support in understanding and filling the claim form and documents submission.
• Assisting associate for Ecard & necessary addition of members.
• Should have good communication skills , knowledge about policy coverage benefits.
• HR dependency on helpdesk person for necessary co ordination pan India admissions & claims.
• Discussing problematic claims with HR for necessary support
• Most important, Human Touch and Building relationship with HR team & associates and Polite behaviour

Preferred candidate profile

Graduated professional with relevant experience of 1+ years into Insurance TPA is preferred.