Location : Infopark , Kochi
Qualifications : Bachelor’s Degree
Key Skills : Analytical Skills , Good Communication
Job Overview
An Associate – Back Office & Customer Service (US Healthcare / Insurance) is responsible for processing healthcare and insurance-related documents, updating customer information, handling inquiries, verifying data, and maintaining accurate records. The role involves supporting US healthcare providers, insurance companies, and customers while following company policies and quality standards.
Roles and Responsibilities :
- Process healthcare and insurance-related documents, claims, and customer information accurately.
- Verify patient details, insurance information, policy details, and supporting documents.
- Perform data entry and update customer records in internal systems.
- Review insurance claims and supporting documents for completeness and accuracy.
- Assist with insurance eligibility and benefits verification according to process guidelines.
- Handle customer inquiries through phone, email, or other assigned communication channels.
- Provide information about insurance policies, claim status, and documentation requirements within the scope of the role.
- Maintain accurate records of customer interactions and case updates.
- Identify missing information, discrepancies, and processing errors and escalate them to the appropriate team.
- Use MS Office applications, especially Excel and Word, to maintain records and prepare reports.
- Follow standard operating procedures (SOPs), data privacy requirements, and confidentiality guidelines when handling patient and customer information.
- Coordinate with internal teams to resolve customer queries and process-related issues.
- Meet daily productivity targets and maintain quality standards.
- Complete assigned tasks within turnaround time (TAT) and service-level agreement (SLA) requirements.
- Support continuous process improvement by identifying recurring errors and suggesting corrective actions.
