Sr Trans Associate - US Insurance

HIREVIBE TALENT SOLUTIONS (OPC) PRIVATE LIMITED; Ernakulam; On-site; INR 350,000 - 650,000; Full time

Job summary

Appsierra Group in India is seeking a SrTrans Associate – US Insurance to handle end-to-end processing of personal insurance, disability, and leave claims within a fast-paced healthcare operations environment. You will act as the primary contact for customers, ensuring accurate claim handling and regulatory compliance.

The role requires strong communication, ability to manage competing priorities, and proficiency with claim management software and MS Office.

Qualifications

• 1–5 years of US personal insurance or disability claims experience.
• Strong written and verbal communication skills.
• Knowledge of US insurance regulations and healthcare operations.
• Proficient in claims processing and data entry.

Responsibilities

• Process and adjudicate personal insurance, disability, and leave claims from intake through resolution.
• Provide timely, courteous customer service via phone, email, and portal inquiries.
• Maintain accurate documentation and data entry in claim management systems.
• Coordinate with internal teams (benefits, payroll, healthcare operations) to verify eligibility and resolve discrepancies.
• Interpret and apply US insurance policies, regulations, and contractual terms.
• Identify trends and flag potential fraud or compliance issues for escalation.
• Generate routine reports on claim status, turnaround times, and service metrics.

Skills

Claims processing

Customer service

US insurance regulations

Documentation accuracy

Multitasking

Tools

Claim management software

Microsoft Office

Job description

The SrTrans Associate – US Insurance is responsible for end‑to‑end processing of personal insurance, disability, and leave claims within a fast‑paced healthcare operations environment. This position serves as a primary point of contact for customers, ensuring accurate claim handling and compliance with US insurance regulations.

Key responsibilities

• Process and adjudicate personal insurance, disability, and leave claims from intake through resolution.
• Provide timely, courteous customer service via phone, email, and portal inquiries.
• Maintain accurate documentation and data entry in claim management systems.
• Coordinate with internal teams (benefits, payroll, healthcare operations) to verify eligibility and resolve discrepancies.
• Interpret and apply US insurance policies, regulations, and contractual terms.
• Identify trends and flag potential fraud or compliance issues for escalation.
• Generate routine reports on claim status, turnaround times, and service metrics.

Required qualifications

• 1–5years of experience in US personal insurance, disability, or leave administration.
• Demonstrated proficiency in claims processing and customer service.
• Strong knowledge of US insurance regulations and healthcare operations.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities while meeting strict deadlines.
• Proficiency with claim management software and Microsoft Office suite.