Associate, Account Management

About the Role

• Independently manages benefit administration activities, including provider outreach, claim support processes, documentation review, and workflow management.
• 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

• Prior experience in International Voice process.
• Excellent communication skills.
• Experience in US Insurance (Health, Life, Benefits Administration) or US Healthcare Operations will be an added advantage.
• Freshers with Excellent Communication Skills can also apply.
• Good attention to detail.
• Ability to follow documented procedures.
• Ability to manage multiple tasks and priorities.
• Willingness to learn new systems and processes.

Education

• Minimum Plus Two is Required.