Primary Responsibilities:

- EDM Operations & Data Management
- Maintain and update member records accurately in internal systems
- Perform data verification, quality checks, and audits to ensure data integrity
- Track and document all customer interactions, resolutions, and actions taken
- Identify and report data inconsistencies, operational risks, and process gaps
- Review healthcare plans, perks, policies, and SOPs to provide accurate resolutions
- Ensure timely completion of transactions within established Service Level Agreements (SLAs)
- Maintain quality scores and productivity targets as per business expectations

- Customer & Stakeholder Support

- Handle customer, broker, employer group, and internal partner inquiries through email and voice support




- Respond professionally to member and client concerns while maintaining high customer satisfaction
- Follow up on unresolved cases and provide regular status updates
- Act as a point of contact for escalated or complex cases

- Problem Solving & Decision Making

- Analyze complex issues and determine appropriate resolutions independently
- Apply business knowledge and established guidelines to support decision-making
- Proactively identify solutions for non-standard requests and process exceptions
- Collaborate with cross-functional teams to resolve complex operational challenges

Documents to carry Resume, Adhar Card, Passport Size photo Must ( Mandatory ).

📌 Walk-in || Senior Enrollment Representative (Hyderabad)
🏢 Optum
📍 Hyderabad