Call Center Executive Jobs Opening in Vidal Health TPA Pvt Ltd at Whitefield, Bangalore
Job Description
- Handling inbound calls related to policies.
- Follow up with the internal team for Pre-Auth cases.
- Convincing customers related to claims.
- Provide Claim & Pre-Auth status to customers and hospitals.
- Update daily tracker to escalation team.
- Guide the customer about claims procedures.
- Providing information related to corporate and individual policies.
Key Responsibilities
1. Inbound Call Handling
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Attend to incoming calls from policyholders, hospital staff, or corporate HR teams.
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Respond to queries related to:
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Policy coverage
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Claim procedure
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Pre-Authorization (Pre-Auth) request status
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Documentation requirements
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Network hospitals and empanelment
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Maintain professional and empathetic communication while resolving concerns.
2. Claims and Pre-Authorization Support
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Guide customers on the step-by-step claims process, including documentation, timelines, and reimbursement guidelines.
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Provide accurate and updated claim and Pre-Auth status to callers.
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Coordinate with the internal claims, underwriting, and medical team for updates or clarifications.
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Explain rejection reasons or pending documents required for processing.
3. Coordination with Internal Teams
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Follow up with internal departments (claims, Pre-Auth, escalation, etc.) on pending or urgent cases.
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Ensure timely communication of critical updates to hospitals and policyholders.
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Escalate unresolved or sensitive issues to the supervisor or escalation team as per SOP.
4. Documentation and Reporting
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Maintain a daily tracker for all calls handled, escalations, and case updates.
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Log all call details, customer interactions, and outcomes in the internal CRM or call management system.
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Submit daily, weekly, or monthly reports to the reporting manager or escalation team.
5. Policy Guidance and Education
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Educate customers about individual and corporate health insurance policies, including:
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Inclusions and exclusions
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Sum insured, sub-limits, and co-pay details
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Waiting periods and pre-existing conditions
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Explain value-added services or policy add-ons (if applicable).
6. Customer Satisfaction and Relationship Management
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Ensure first call resolution (FCR) wherever possible.
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Handle irate or dissatisfied customers with patience and professionalism.
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Maintain a high standard of customer service quality and satisfaction.
More information about this Call center executive Job
Please go through the below FAQs to get all answers related to the given Call center executive job
- What are the job requirements to apply for this Call center executive job position?
- Ans: A candidate must have a minimum of fresher as an Call center executive
- What is the qualification for this job?
- Ans: The candidate can be a Graduate from any of the following: Diploma, B.Com, BA, BBA/BBM, 12th Pass (HSE)
- What is the hiring Process of this job?
- Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.
- This Call center executive is a work from home job?
- Ans: No ,its not a Work from Home Job.
- How many job vacancies are opening for the Call center executive position?
- Ans: There are immediate 1 job openings for Call center executive in our Organisation.
Job Particulars
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