Job Description

The Benefits Support Specialist - Independently manages 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 Responsibilities

- Process complex benefit administration activities with minimal supervision
- 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 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

Required Skills

- Prior experience in International Voice process.
- Excellent communication skills.
- Experience in US Insurance (Health, Life, Advantages Administration) or US Healthcare Operations will be an added advantage.
- Freshers with Excellent Communication Skills can also apply
- Good attention to detail
- Ability to follow documented procedures
- Ability to manage multiple tasks and priorities
- Willingness to learn new systems and processes

Education

- Minimum Plus Two is Required

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

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