We are seeking a detail-oriented and efficient Life/Group Benefit Insurance or Healthcare Claims Processor to join our team. The successful candidate will be responsible for reviewing, processing, and adjudicating Insurance/ healthcare claims accurately and in a timely manner.

Key Responsibilities

- Handle inbound and outbound voice interactions with healthcare providers and other stakeholders.
- Process benefit administration and claim support activities.
- Review claim documentation and determine appropriate next steps.
- Conduct provider outreach 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 documentation.
- Support multiple product lines and workflows.
- Escalate complex issues when required.
- (L2) Support training, coaching, knowledge sharing, and recommend process improvements.

What We're Looking For





- Excellent verbal and written communication skills.
- Strong customer service and voice process experience.
- Good analytical skills and attention to detail.
- Ability to manage multiple priorities and work independently.
- Strong organizational and time-management skills.
- Proficiency in working with multiple systems and applications.
- Willingness to learn and adapt to new processes.

Eligibility

Graduate in any discipline (excluding Btech).

Preferred Experience

- Experience in Disability, Leave Administration, Insurance, Claims Processing, Healthcare Operations, or Contact Center.
- Experience in provider outreach and perks support activities.
- International voice process experience is an added advantage.
- Freshers with an excellent communication can also apply for L1 position.

Work Mode: Work From Office (WFO)

Shift: Rational Night Shift

📌 Benefits Support Specialist/ (India)
🏢 Sutherland
📍 India