Client Service Executive

Family Health Plan (FHPL); Shamshabad; On-site; INR 260,000 - 380,000; Full time

Job summary

Family Health Plan (FHPL) is seeking a role focused on assisting associates with policy terms, eligibility, and claim timelines across pan-India operations. The incumbent will support hospitalization procedures, network hospital confirmations, enrollment queries, and premium impacts while maintaining a compassionate, professional approach.

The position emphasizes strong communication and HR liaison skills, with a focus on guiding associates through reimbursement, cashless claims, and

Qualifications

• Assisting associates with policy terms, eligibility, and claim timelines.
• Guiding associates on hospital procedures and network confirmations.
• Handling enrollment queries and premium impact discussions.
• Providing timely support during emergencies via phone and in person.

Responsibilities

• Assist associates with reimbursement claims and cashless queries.
• Help associates understand and fill claim forms and document submissions.
• Support Ecard additions and member enrollments.
• Coordinate with HR for pan-India admissions and claims.
• Discuss problematic claims with HR for escalation and resolution.
• Build relationships with HR teams and associates with a courteous tone.

Skills

Communication skills

Policy knowledge

Claims support

Education

Graduated professional

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.