Website:
toprecruitmenthub.com
Job details:
Benefits Support Specialist – Insurance / Claims / Healthcare Operations
Location: Kochi, Kerala
Work Mode: Work From Office
Employment Type: Full Time
Experience: 1–6 Years
Qualification: Graduate
Notice Period: Immediate to Serving Notice
Job Overview
We are hiring a Benefits Support Specialist with experience in insurance, claims processing, healthcare operations, benefits administration, disability administration, or leave administration.
The role involves managing benefit-related processes, reviewing claims documentation, coordinating with providers and stakeholders, resolving exceptions, and ensuring quality, productivity, and SLA targets are consistently achieved.
Candidates with voice/contact center experience and exposure to insurance or healthcare processes are encouraged to apply.
Key Responsibilities
- Handle benefits administration and claims-related activities with minimal supervision.
- Review claim and benefit documentation and determine appropriate next steps.
- Conduct provider outreach to collect missing or required information.
- Coordinate with providers, internal teams, and other stakeholders to resolve cases.
- Manage follow-ups and ensure outstanding requests are closed within defined timelines.
- Identify and resolve processing exceptions and complex cases.
- Maintain accurate case records and documentation.
- Work across multiple product lines, processes, and workflows.
- Meet defined quality, productivity, accuracy, and SLA targets.
- Ensure compliance with process guidelines and operational standards.
- Support process improvement and identify opportunities to improve efficiency.
- Assist with training, coaching, and knowledge sharing for team members.
- Escalate complex issues to the appropriate leadership team when required.
Required Experience
- 1–6 years of relevant experience in:
- Insurance Operations
- Claims Processing
- Benefits Administration
- Healthcare Operations
- Disability Administration
- Leave Administration
- Contact Center Operations
- Prior voice/contact center experience.
- Experience with provider outreach or benefits-related support.
- Understanding of process workflows and case management.
- Experience working with quality, productivity, and SLA metrics.
- Strong attention to detail and documentation skills.
- Good verbal and written communication.
- Ability to manage multiple cases and priorities effectively.
Key Skills
Benefits Administration | Claims Processing | Insurance Operations | Healthcare Operations | Disability Administration | Leave Administration | Provider Outreach | Contact Center Operations | Workflow Management | Quality Assurance | SLA Management | Performance Metrics | Process Improvement
Who Should Apply?
This opportunity is suitable for professionals currently working in:
Insurance Operations | Claims | Healthcare BPO | Benefits Administration | Disability Claims | Leave Administration | Contact Centers | Healthcare Operations | Insurance Processing
Work Location: Kochi, Kerala
Work Mode: Work From Office
Click on Apply to know more.