Website:
toprecruitmenthub.com
Job details:
Associate / Sr. Associate – Claim Processing (L1/L2)
Location: Kochi, Kerala
Experience: 1–6 Years
Employment Type: Full-Time
Work Mode: Work From Office
Qualification: Graduate
Notice Period: Immediate to Serving Notice
Role Overview
We are looking for an Associate / Sr. Associate – Trans Processing (L1/L2) to support benefit administration, claims processing, provider outreach, documentation review, and workflow management within the insurance and healthcare operations domain.
The role involves handling complex cases, resolving exceptions, maintaining quality standards, and supporting process improvement initiatives.
Key Responsibilities
- Process benefit administration activities with minimal supervision.
- Review claim documentation and determine appropriate next steps.
- Conduct provider outreach and coordinate with relevant stakeholders.
- Manage follow-ups and resolve outstanding requests.
- Identify and resolve processing exceptions.
- Ensure compliance with quality, productivity, and service-level standards.
- Maintain accurate and complete process documentation.
- Support multiple product lines and workflows.
- Assist with training, coaching, and knowledge sharing.
- Escalate complex issues and exceptions to leadership when required.
- Identify opportunities for process improvement and operational efficiency.
Requirements
- Graduate in any discipline or equivalent work experience.
- 1–6 years of experience in insurance, claims processing, healthcare operations, disability administration, leave administration, or contact center operations.
- Experience in voice-based processes and provider outreach is preferred.
- Knowledge of benefit administration and process workflows.
- Experience working with productivity, quality, and service-level metrics.
- Strong communication, problem-solving, and documentation skills.
- Ability to manage multiple workflows and meet process deadlines.
Required Skills
Benefit Administration | Claims Processing | Contact Center Operations | Disability Administration | Healthcare Operations | Insurance Domain | Leave Administration | Performance Metrics | Provider Outreach | Quality Assurance | Workflow Management
Apply or share your CV to 6397078354
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