Customer Service Associate III

Job Summary

We are seeking a detail-oriented and customer-focused Claims Process Associate to support the end-to-end management of customer claims. The role involves reviewing claim submissions, validating documentation, processing claims accurately, and ensuring compliance with company policies and service-level agreements (SLAs). The ideal candidate should possess strong analytical skills, attention to detail, and the ability to deliver excellent customer service while managing multiple tasks efficiently. The job is proper US night shift and there will be different shifts to work.

Key Responsibilities

• Review, assess, and process claims in accordance with established guidelines and policies.
• Verify claim documentation for completeness, accuracy, and eligibility.
• Investigate discrepancies and gather additional information when required.
• Maintain accurate records of claim activities in internal systems.
• Communicate with customers, internal stakeholders, and external partners regarding claim status and requirements.
• Ensure claims are processed within agreed turnaround times and quality standards.
• Identify potential fraud indicators and escalate suspicious claims appropriately.
• Resolve customer inquiries related to claims professionally and efficiently.
• Adhere to compliance, regulatory, and company policy requirements.
• Participate in process improvement initiatives to enhance efficiency and customer experience.

Required Qualifications

• Bachelors degree or equivalent work experience.
• 1-3 years of experience in claims processing, customer service, insurance operations, or a related field.
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office applications, particularly Excel and Outlook.
• High attention to detail and accuracy.
• Ability to work in a fast-paced, deadline-driven environment.
• Strong organizational and time management skills.

Preferred Qualifications

• Experience with insurance, healthcare, warranty, or financial claims processing.
• Experience working with quality and compliance standards.
• Familiarity with process documentation and reporting.

Key Competencies

• Customer Focus
• Attention to Detail
• Analytical Thinking
• Decision Making
• Team Collaboration
• Accountability
• Adaptability
• Process Improvement Mindset

Performance Metrics

• Claims processing accuracy
• Productivity and throughput
• SLA adherence
• Quality audit scores
• Customer satisfaction
• Compliance adherence

Location

Bangalore

Employment Type

Full-time

Shift

As per business requirements

Primary Skills

Consumer Protection, Customer Data Management, Performance Management (PM), Relationship Building, Stakeholder Relationship Management

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.