US healthcare Insurance/AR /Claims/RCM- Voice Process

Sutherland; Ernakulam; On-site; INR 260,000 - 380,000; Full time

Job summary

Sutherland in Kochi (work from office) seeks a candidate with 1–5 years in US Health Insurance to handle inbound calls, resolve claims issues, verify eligibility, and document interactions in CRM.

Night shifts and strong English communication are mandatory; you will escalate complex cases to seniors and strive for high quality and productivity in a fast-paced US healthcare BPO.

Qualifications

• 1–5 years of experience in US Health Insurance or related fields.
• Strong communication skills and ability to handle calls.
• Familiarity with CRM and claims processing workflows.
• Night shift readiness and adherence to productivity targets.

Responsibilities

• Handle inbound calls to resolve claims-related issues.
• Escalate complex cases to senior team members.
• Maintain accurate CRM records of all interactions.
• Authorize or deny claims based on eligibility and policy terms.
• Deliver excellent customer service and timely resolution.

Skills

US Health Insurance

Claims processing

AR calling

Benefits administration

Life insurance

US healthcare voice process

Tools

CRM software

Job description

Immediate Joiners Preferred

Role & responsibilities

• Handle inbound calls from healthcare providers to resolve claims-related issues.
• Identify and escalated complex cases to senior team members for further assistance.
• Maintain accurate records of all interactions with customers using CRM software.
• Authorize or deny claims based on eligibility verification and policy terms.
• Provide excellent customer service by responding promptly to queries and resolving issues efficiently.

Preferred candidate profile

• 1-5 years of experience in US Health Insurance, Claims, AR calling, benefits administration, claims processing, life insurance, or US healthcare insurance voice process.
• Strong understanding of healthcare BPO operations and regulations (US Healthcare).
• Excellent communication skills with the ability to work effectively over phone calls.
• Ability to meet productivity targets while maintaining high-quality standards.

Good English Verbal Communication is Mandatory

Location: Kochi (work from office)

Night shifts (flexibility required)