Role & responsibilities

We are hiring freshers and experienced professionals to join our healthcare claims processing team as

a Bilingual Claims Resolution Specialist. This role requires fluency in both English and Spanish

(oral and written) to communicate effectively with patients, employers, attorney representatives,

insurance companies, and other responsible parties in the United States. The specialist serves as a

liaison between key client contacts and end patients/employers/attorneys, primarily through phone,

email, and written correspondence.

Responsibilities

- Contact end patients, employers, attorney representatives, insurance companies, and other

responsible parties in the US using both English and Spanish to gather information required to

complete claims.

- Analyze and evaluate complex claim payments using the client's proprietary software, systems,

and tools.

- Use payment documentation provided by payers to determine reimbursement status and

perform accurate and timely data entry.

- Conduct timely and thorough telephone follow-up with payers and other responsible parties to





ensure claims and supporting documentation have been received and facilitate prompt

reimbursement.

- Prepare complex claim initial bill packets, appeal letters, and related correspondence in English

and Spanish, as required, using the client's systems and tools.

- Assist in obtaining supporting claim documentation, compiling billing packets, and filing

insurance claims accurately and efficiently.

Preferred candidate profile

Fluent in Spanish and English (oral and written) with excellent communication,

comprehension, and interpersonal skills.

- Ability to pass a bilingual language proficiency assessment (English and Spanish).
- Solid verbal communication skills with the ability to interact professionally with patients,

employers, attorneys, insurance representatives, and client contacts.

- Fast and accurate typing skills while maintaining live conversations.
- Ability to multitask effectively between data entry, research, and phone conversations.

📌 Claims Operations Associate (Chennai)
🏢 PlaceNet Consultants
📍 Chennai