Sutherland
Website:
sutherlandglobal.com
Job details:
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 benefits support activities.
- Exposure to quality and productivity performance metrics.
🏢 Work Mode: Work From Office (WFO)
🌙 Shift: Rational Night Shift
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