Medical Benefits: Assist employees in understanding the medical benefits provided by ESIC, including coverage for outpatient and inpatient treatment, specialist consultations, diagnostic tests, medicines, and hospitalization expenses.
Sickness Benefits: Help employees navigate the process of claiming sickness benefits for periods of temporary incapacity due to illness, injury, or maternity-related reasons. Provide guidance on eligibility criteria, documentation requirements, and the application process.
Maternity Benefits: Support pregnant employees in accessing maternity benefits under ESIC, including paid leave, prenatal and postnatal care, delivery expenses, and maternity-related medical benefits.
Disablement Benefits: Assist employees who suffer from work-related injuries or occupational diseases in claiming disablement benefits, including temporary and permanent disablement benefits, rehabilitation assistance, and vocational training support.
Dependent Benefits: Help employees understand the dependent benefits available under ESIC, such as coverage for dependent family members in the event of the employee's death or disablement.
Funeral Expenses: Provide guidance on claiming funeral expenses for the dependents of deceased employees covered under ESIC, including eligibility criteria, documentation requirements, and reimbursement procedures.
Healthcare Services: Connect employees with ESIC-affiliated hospitals, dispensaries, and healthcare providers to access quality healthcare services covered under the ESIC scheme.
Claims Assistance:Assist employees in preparing and submitting claims for various ESIC benefits, ensuring completeness, accuracy, and compliance with ESIC regulations.
Appeals and Grievances: Provide support to employees in case of claim denials, disputes, or grievances related to ESIC benefits. Assist in filing appeals, representing employees' interests, and resolving issues with ESIC authorities.
Education and Awareness: Conduct workshops, seminars, or training sessions to educate employees about their rights, entitlements, and responsibilities under the ESIC scheme, promoting awareness and understanding of ESIC benefits.