The Benefits Support Specialist -L1 supports benefit administration activities, including provider outreach, claim support processes, documentation review, and workflow management.
This role handles more complex scenarios, supports process improvement efforts, and serves as a resource for less experienced team members.
Key Responsibilies
- Process assigned benefit-related activities within established service levels
- Review claim documentation and determine appropriate next steps
- Contact providers and other stakeholders 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 documenta on
- Support multiple product lines and workflows
- Escalate issues or exceptions to leadership when needed
- Participate in training and continuous learning activities Required Skills
- Excellent communication and customer service skills
- Good attention to detail
- Ability to follow documented procedures
- Ability to manage multiple tasks and priorities
- Willingness to learn recent systems and processes
Work Location- Kochi, Kerala (WFO)
Education
- Graduate in any discipline or equivalent work experience
If interested Kindly reach out to me @ (phone hidden)
📌 Senior Associate- US Healthcare (Kerala)
🏢 Sutherland
📍 Kerala
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