Team Member - Grievance
About this role
Basic Details: Fill the required information about business, unit, location, position, reports to position and date of updation of JD |
Business | Health Insurance | ||
Unit | Aditya Birla Health Insurance Company Ltd | ||
Location | MBC, Thane | ||
Poornata Position Number of the job | Reports to: Poornata Position Number | ||
Poornata Position Title of the job (30 characters max) | TM-DM-Grv & Endrm-GM-3-Thn | Reports to: Poornata Position Title | TL-SrCM-Grv & Endrm-GM-Thn |
Function | Services Operations | Reports to: Function | Services Operations |
Department | Grievance, Service Operations | Reports to: Department | Grievance, Service Operations |
Designation of the Employee | Assistant /Deputy Manager Grievance | Designation of the Manager | Team Lead - Grievance |
Date of writing/updation of JD | 01st May 2021 | ||
1) Job Purpose: Write the purpose for which the job exists (in 2-3 lines) (Max 1325 Characters) |
The purpose of the role is to ensure timely and accurate customer resolution & responses to queries are provided which are received through emails & calls ensuring internal & external compliance in order to enhance customer satisfaction. |
2) Dimensions: Mention quantitative or qualitative parameters that are relevant for the job and provide a better understanding of the scope and scale of the job. | |
Business Workforce Number | 3 |
Unit Workforce Number |
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Function Workforce Number |
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Department Workforce Number |
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Other Quantitative and Important Parameters for the job: Budgets/ Volumes/No. of Products/Geography/ Markets/ Customers or any other parameter | Delta improvement in CSAT score |
3) Job Context & Major Challenges: Write the specific aspects of the job that provide a challenge (internal and external) to the jobholder in the context of the Business/Unit/Function/Department/Section ((Max 3975 Characters) |
About the Health Insurance Industry – While the current market sees more than 15 non-life players in the private space and 5 exclusive private players in the health insurance space trying to capture a sizable market share, the nationalized service provider (6) remains a strong competitor. In addition to this the business dynamics are such that the overall market on an annual basis which is to the tune of roughly 10,000 Crs sees close to 85 % of the business renewing with the existing service provider itself. This narrows down the opportunity of the fresh business actually being seriously fought in the market to approximately 1500 odd Crs. With the SME and the start-ups being the driving force of Indian economy, the opportunity to cater to these segments is immense and is increasing manifold year on year. The challenge here therefore remains as to how we capture a larger share of the opportunity by developing specific solutions to cater each segment of the business. Also by creating an inexpensive and standardized solution to increase the reach into the pockets of channel partners across the country to harness on their captive business and explore new opportunities with them. Market Opportunities – With the advent of medical advancements, lifestyle changes, change in Indian socio-economic scenario and Indian healthcare space, and the insurers are facing challenges to cater to the needs of this diverse clientele. Increasingly Indian customers have started considering health insurance partners as extensions of health advisers. In this scenario it becomes extremely important to understand their psyche and then provide tailored solutions with wellness benefits which would help them meet their end objectives and bring in profitable revenue source for the company. About the Aditya Birla Health Insurance – Aditya Birla Health Insurance Co. Limited (ABHICL) was incorporated in 2015 as a 51:49 joint venture between Aditya Birla Capital Limited (ABCL) and MMI Strategic Investments (Pty) Ltd. ABHICL commenced its operations in October 2016. ABHICL has entered the competitive health insurance market with an aim to expand the category to wider customer segments, beyond the ones that health insurance companies traditionally have marketed to. As the 6th entrant in a category with well-established players, ABHICL is creating differentiation and equity for itself though the unique business proposition of “Health Insurance for All”, a one of a kind proposition in India at the moment. This is a philosophy that is being built through every single consumer touch point and into every single backend process of the company to ensure a customer’s experience of our proposition is continuous and seamless. ABHI’s unique offering to market includes proposition includes -
Key Challenges
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4) Key Result Areas: Write the key results expected from the job and the supporting actions for each of these key result areas (For a majority of jobs typically there could be 4- 7 key result areas)- Maximum 10 KRAs can be updated | |
Key Result Areas (Max 1325 Characters) | Supporting Actions (Max 1325 Characters) |
End to end grievance management |
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5) Job Purpose of Direct Reports: Describe the job purpose of the direct report/s to the job (in 2-3 lines for each report) |
Executive/Sr. Executive – Grievance The purpose of the role is to support in ensuring timely & satisfactory resolution to all customer queries & grievances inline with the SOP The role is required to support the customer service & grievance team in ensuring timely execution of daily transactional & operational activities |
6) Relationships: Describe the nature and purpose of most important contacts or relationship (except superior/team members) with individuals, departments, organizations inside and outside of the organization, that job is required to interact with in order to deliver the job objectives | ||
Relationship Type (Max 80 Characters) | Frequency | Nature (Max 1325 Characters) |
Internal |
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Corporate Operations (All teams)Sales/ Zonal Operations/ Compliance Accounts | Regular Regular | Resolution of Complaints & Queries Payments |
External |
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Courier companies Shared Services | Need based | Dispatch of Documents & Cheques Call Centre (Inbound/Outbound calls) activities |
7) Organizational Relationships: Provide the structure for a level above and below the position for which this job description is written. Use position titles in the structured and indicate all the reports of the position. |
SIGN-OFF: Provide the name of the Manager and the jobholder. Signature needed for the hard copy of the JD. Hard copy to be maintained in the organizational record. | ||
Job Holder | Reports to – Manager | |
Name | ||
Signature (needed for the hard copy) | ||
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