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Family Health Plan (FHPL) is seeking an employee support specialist to assist staff across policy terms, claims, enrollment, and reimbursements. The role focuses on service excellence, clear communication, and timely issue resolution, with emphasis on empathy and polite interactions.
Ideal candidates will have strong English and regional language skills, 1–3 years in customer service, and a patient, problem-solving approach to complex policy inquiries.
Helping hand for the employees 24x7.
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 behavior