Benefits Support Specialist

We are seeking a detail-oriented and efficient Life/Group Benefit Insurance or Healthcare Claims Processor to join our team. The successful candidate will be responsible for reviewing, processing, and adjudicating Insurance/ healthcare claims accurately and in a timely manner.

Key Responsibilities

• Handle inbound and outbound voice interactions with healthcare providers and other stakeholders.
• Process benefit administration and claim support activities.
• Review claim documentation and determine appropriate next steps.
• Conduct provider outreach to obtain required information.
• Manage follow-up activities and resolve outstanding requests.
• Ensure compliance with quality, productivity, and service-level standards.
• Identify and resolve processing exceptions.
• Maintain accurate and complete documentation.
• Support multiple product lines and workflows.
• Escalate complex issues when required.
• (L2) Support training, coaching, knowledge sharing, and recommend process improvements.

What We're Looking For

• Excellent verbal and written communication skills.
• Strong customer service and voice process experience.
• Good analytical skills and attention to detail.
• Ability to manage multiple priorities and work independently.
• Strong organizational and time-management skills.
• Proficiency in working with multiple systems and applications.
• Willingness to learn and adapt to new processes.

Eligibility

Graduate in any discipline (excluding Btech).

Preferred Experience

• Experience in Disability, Leave Administration, Insurance, Claims Processing, Healthcare Operations, or Contact Center.
• Experience in provider outreach and benefits support activities.
• Exposure to quality and productivity performance metrics.

Work Mode: Work From Office (WFO)

Shift: Rational Night Shift