Customer Care Executive

Roles & Responsibilities:

• Handle inbound calls from US-based members regarding healthcare insurance, claims, policy details, and coverage.
• Provide accurate information regarding eligibility, deductibles, payments, and prior authorizations.
• Document interactions appropriately and maintain patient confidentiality in compliance with HIPAA guidelines.
• Resolve customer queries promptly with a customer-first approach.
• Escalate complex issues to appropriate departments when needed.
• Stay updated with system changes, policy updates, and meet quality and productivity targets.