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The Claims/ Client Service Oficer plays a crucial role in the eficient management of claims and ensures that customers receive assistance and support throughout their experience with EFU Life Assurance Ltd.
- Visit designated network hospitals and other assigned facilities to assess patient admissions and gather necessary information on insured individuals.
- Verify the identity of the insured using CNIC and ensure compliance with internal policies and regulations.
- Monitor and document any challenges or issues faced by customers in hospitals, reporting them to the head ofice for timely resolution.
- Review patient fles, examine medical notes, and assess the medical necessity of admissions and investigations performed, discussing fndings with the supervisor.
- Identify and report unjustifed or unnecessary admissions to the supervisor for further evaluation.
- Maintain oversight on billing issues on a daily basis, communicating any discrepancies or concerns regarding bill amounts to the supervisor.
- Verify claims for non-network hospitals within the city and surrounding areas, ensuring prompt and accurate processing.
- Provide exceptional customer service by addressing inquiries and concerns from clients regarding their claims status and related processes.
Job Details
EFU Life Assurance Ltd
pWith 8000 people spread across 320+ branches, EFU Life is the largest private sector life insurance company in Pakistan. Today, our policy holders look to us to protect their loved ones and we’re proud to be the trusted protector of Pakistanis everywhere and their financial futures./ppWe have nurtured a large and diversified talent within the organization. We’re proud to have cultivated smart hardworking teams driving our growth, helping us to innovate again and again in marketing, technology innovation, operations, HR or in product or channel development./ppWe welcome smart, motivated, people of all ages and backgrounds, willing to make EFU Life their home and become the future drivers of yours and our success/ppCome, join the family!/p
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