Associate Account Management
Job Summary
The Benefits Support Specialist - Independently manages benefit administration activities including provider outreach claim support processes documentation 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 complex benefit administration activities with minimal supervision
- 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
- Assist with training coaching and knowledge sharing
- Escalate issues or exceptions to leadership when needed
- Recommend process improvements and efficiency opportunities
Qualifications :
Required Skills
- Minimum 2 years of experience in Health Insurance Life Insurance Disability Benefits Leave Administration Claims Processing Healthcare Operations or related domains.
- Strong attention to detail and analytical skills
- Effective verbal and written communication skills
- Ability to interpret procedures and apply judgments within guidelines
- Strong organizational and time-management skills
- Proficiency in multiple systems and applications
- Ability to work independently and manage competing priorities
Education
- Graduate in any discipline or equivalent work experience
Preferred Qualifications
- Experience in contact center operations within disability leave administration insurance claims processing healthcare operations domain
- Experience working with productivity and quality performance metrics
- Experience handling provider outreach or benefit-related support activities
Additional Information :
- Work from Office
- US Rotational Night Shifts
- 5-Day Work Week with Rotational Week-Offs
- Cab Facility Available within a 25 km Radius
- Immediate Joiners Preferred
Remote Work :
No
Employment Type :
Full-time
About Company
Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more