We are a digital transformation company. We make digital humanTM by combining human-centered design with real-time Analytics, AI, Cognitive Technology & Automation to create exceptionally engineered Brand Experiences Sutherland is an experience-led digital transformation company. Our mission is to deliver exceptionally engineered experiences for customers and employees today, that continue to delight tomorrow. For over 35 years, we have cared for our customers’ customers, delivering measurable results and accelerating growth. Our proprietary, AI-based products and platforms are built using robust IP and automation. We are a team of global professionals, operationally effective, culturally meshed, and committed to our clients and to one another. We call it One Sutherland. #MakeDigitalHuman
About The Job:
- The Advantages Support Specialist - L2 independently manages benefit administration on activities, including provider outreach, claim support processes, documentation on review, and workflow management.
This role handles more complex scenarios, supports process improvement efforts, and serves as a resource for less experienced team members.
Essential Job Functions:
- Process complex benefit administration on activities with minimal supervision
- Review claim documents and determine appropriate next steps
- Contact providers and other stakeholders to obtain required information
- Manage follow-up actions 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
- Assist with training, coaching, and knowledge sharing
- Escalate issues or exceptions to leadership when needed
- Recommend process improvements and efficiency opportunities.
Qualifications:
- Graduate in any discipline or equivalent work experience
- Experi