Associate/Senior Associate-US Health insurance

Sutherland; Ernakulam; On-site; INR 350,000 - 550,000; Full time

Job summary

Sutherland in Kochi, India is seeking a Benefits Support Specialist - L1 to assist with benefit administration activities, including provider outreach, claim support, documentation review, and workflow management. The role handles more complex scenarios and serves as a resource for less experienced team members.

You will ensure quality, productivity, and service-level standards while supporting multiple product lines and following documented procedures.

Qualifications

• Excellent communication and customer service skills.
• Good attention to detail.
• Ability to follow documented procedures.
• Ability to manage multiple tasks and priorities.
• Willingness to learn new systems and processes.

Responsibilities

• Process assigned benefit-related activities within established service levels.
• 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.
• Escalate issues or exceptions to leadership when needed.
• Participate in training and continuous learning activities.

Skills

Excellent communication

Customer service

Attention to detail

Multi-tasking

Willingness to learn

Job description

Role Summary

The Benefits Support Specialist -L1 supports benefit administration activities, including provider outreach, claim support processes, documenta on 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 assigned benefit-related activities within established service levels
• 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
• Escalate issues or exceptions to leadership when needed
• Participate in training and continuous learning activities Required Skills
• Excellent communication and customer service skills
• Good attention to detail
• Ability to follow documented procedures
• Ability to manage multiple tasks and priorities
• Willingness to learn new systems and processes

Location: Kochi
Shift: Night shifts (flexibility required)
Experience: Minimum 1 year
Eligibility: