Claims Operations Sr. Associate I

Alegeus; Bengaluru; On-site; INR 900,000 - 1,300,000; Full time

Job summary

Alegeus in Bangalore, India, is seeking a Claims Operations Sr. Associate I to process claims with precision and support quality standards. The role focuses on achieving productivity metrics and delivering excellent service to members.

You will collaborate with cross-functional teams, mentor nesting agents, and drive continuous improvement through process enhancements. A Bachelor's degree and 5–6 years in claims operations are preferred.

Qualifications

• Bachelor's degree is required.
• 5-6 years of operations experience, preferably in claims operations.
• Experience assisting with escalations, coaching or supporting team members, and working with performance metrics is preferred.
• Proficiency with Microsoft Word, Excel, PowerPoint, Teams, and Outlook is required.

Responsibilities

• Process claims accurately to meet quality standards and productivity goals.
• Meet KPIs including Release Rate, Claims per Hour, and Handle Time.
• Provide timely answers to representatives and support day-to-day operations.
• Collaborate with internal teams to resolve issues and ensure service excellence.
• Mentor nesting agents, conduct refresher training, lead roundtable discussions, and provide real-time guidance.
• Support continuous improvement through special projects and process enhancements.

Skills

Attention to detail

Communication

Multitasking

Productivity

Issue resolution

Mentoring

Coaching/Team development

Education

Bachelor's degree

Tools

Microsoft Word

Excel

PowerPoint

Teams

Outlook

Job description

Claims Operations Sr. Associate I

As a Claims Operations Sr. Associate I, you'll play a key role in delivering accurate and efficient claims processing while helping the team achieve quality standards, productivity goals, and exceptional operational performance.

Opportunity Happens Here - Realize Yours

• Make a direct impact on member satisfaction by accurately processing claims and transactions while maintaining industry-leading quality standards.
• Drive operational excellence by meeting key performance indicators, including Release Rate, Claims per Hour, and Handle Time metrics.
• Serve as a trusted resource for colleagues by providing timely answers to representative questions and supporting seamless day-to-day operations.
• Partner across internal teams to resolve issues efficiently, strengthen collaboration, and ensure exceptional service delivery.
• Help shape the success of emerging talent by mentoring nesting agents, conducting refresher training sessions, facilitating roundtable discussions, and providing real-time guidance.
• Contribute to continuous improvement efforts through special projects, process enhancements, and operational initiatives that support business goals.

Essential Skills for Creating a Lasting Impact

• Abilities: Exceptional attention to detail, strong communication and interpersonal skills, ability to manage multiple priorities, maintain productivity in a fast-paced environment, analyze and resolve operational issues, and effectively support and develop teammates.
• Experience: 5-6 years of operations experience, preferably within claims operations. Experience assisting with escalations, coaching or supporting team members, and working with performance metrics is strongly preferred. Proficiency with Microsoft Word, Excel, PowerPoint, Teams, and Outlook is required.

Education

• Bachelor's degree required.

Location

• Bangalore, India