Key Responsibilities:

Client Engagement:

• Assist clients in selecting insurance plans tailored to their specific needs and circumstances.
• Respond promptly to inquiries, concerns, and requests for assistance via online chat, email, or phone.

Claims Management:

• Monitor and expedite the processing of insurance claims through automated systems.
• Collaborate with clients and healthcare providers to ensure accurate documentation and prompt claim resolution.
• Investigate and resolve claim disputes and discrepancies.

Data Analysis and Reporting:

• Analyze insurance data to identify trends, assess risk, and improve insurance offerings.
• Generate reports and insights to support decision-making and enhance customer experiences.

Policy Compliance:

• Stay updated on insurance regulations, policies, and industry standards changes.
• Ensure clients are informed about policy updates and compliance requirements.

Customer Education:

• Educate clients on their insurance policies’ benefits, coverage limitations, and exclusions.
• Provide guidance on preventive healthcare measures and wellness programs offered through insurance plans.

Technical Support:

• Assist clients in navigating online insurance portals, mobile apps, and other digital tools.
• Troubleshoot technical issues and facilitate resolutions.

Requirements

Qualifications

• Bachelor’s degree in a relevant field (e.g., healthcare management, business administration, or computer science).
• Strong understanding of medical insurance terminology, policies, and procedures.
• Proficiency in using AI-driven tools and technologies.
• Excellent communication skills, both written and verbal.
• Customer-centric approach with a focus on enhancing the client experience.
• Analytical mindset and the ability to interpret data for decision-making.
• Adaptability to rapidly evolving technologies and insurance industry changes.

Additional Information

• This role may require occasional evening or weekend hours to accommodate client needs.
• Training and ongoing education on AI and insurance technologies will be provided.
• The Assistant Medical Insurance Executive will report to the Insurance Operations Manager.