Associate - Account Management
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What you'll do
- 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
What they're looking for
- 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 guidelines
- Strong organizational and time-management skills
- Proficiency in multiple systems and applications
- Ability to work independently and manage competing priorities
- Graduate in any discipline or equivalent work experience
Nice to have
- 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
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Company Description
Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they’re our core expertise.
We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence.
We’ve created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless “as a service” model.
For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new possibilities, transformative outcomes and enduring relationships.
Sutherland
Unlocking digital performance. Delivering measurable results.
Job Description
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
Company
Company facts come from this company's own listings. We only show what the postings themselves carry.