Associate / Senior Associate - US healthcare - Voice Process

Sutherland; Ernakulam; On-site; INR 300,000 - 420,000; Full time

Job summary

Sutherland is hiring for a US Healthcare Support role in Kochi, operating from the office with a night shift. The position requires 1-5 years of experience in US healthcare processes and strong English communication skills.

You will handle inbound calls, resolve claims-related queries, document interactions in the CRM, and ensure compliant, high-quality service. This is a full-time, on-site opportunity offering growth in a global healthcare support team.

Qualifications

• 15 years of relevant experience in US Healthcare processes.
• Strong English verbal communication and interpersonal skills.
• Experience handling international calls with US healthcare providers.
• Ability to work in a target-driven environment with accuracy.

Responsibilities

• Handle inbound calls from US healthcare providers and assist with claim-related queries.
• Review and resolve issues related to claims, eligibility, benefits, and policy coverage.
• Escalate complex cases to senior team members when required.
• Document customer interactions, resolutions, and follow-ups in the CRM system.
• Review claims based on eligibility, coverage, and policy guidelines, and take appropriate action.
• Deliver a professional and customer-focused experience with timely resolution.
• Maintain quality, productivity, and compliance standards.

Skills

US Healthcare Insurance

US Healthcare Claims

AR Calling

Benefits Administration

Claims Processing

Life Insurance

US Healthcare Voice Process

Job description

Key Responsibilities

• Handle inbound calls from US healthcare providers and assist with claim-related queries and concerns.
• Review and resolve issues related to claims, eligibility, benefits, and policy coverage.
• Identify complex cases and escalate them to the appropriate senior team members when required.
• Accurately document customer interactions, resolutions, and follow-ups in the CRM system.
• Review claims based on eligibility, coverage, and applicable policy guidelines, and take appropriate action.
• Deliver a professional and customer-focused experience while ensuring timely resolution of queries.
• Maintain required quality, productivity, and compliance standards.

Desired Candidate Profile

• 15 years of relevant experience in any of the following:
• US Healthcare Insurance
• US Healthcare Claims
• AR Calling
• Benefits Administration
• Claims Processing
• Life Insurance
• US Healthcare Voice Process
• Good understanding of US Healthcare / Insurance processes and operations.
• Excellent verbal communication and interpersonal skills.
• Comfortable handling international calls and communicating with US healthcare providers.
• Ability to work in a target-driven environment while maintaining accuracy and quality.
• Strong English verbal communication is mandatory.

Job Details

Location: Kochi - Work from Office
Shift: Night Shift - Flexibility is required
Experience: 1-5 Years