Associate - Account Management

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

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
• 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