- Process and adjudicate US medical bills with precision and compliance to client guidelines.
- Maintain productivity, accuracy, attendance, and schedule adherence metrics.
- Report performance, concerns, and feedback to the Assistant/Lead Assistant Manager.
- Escalate unresolved issues to the Manager as required.
- Collaborate with team members for clarification and support on process matters.
- Coordinate with client supervisors and SMEs for clarifications and training.
- Handle customer service inquiries and escalations professionally.
- Balance quality, productivity, and customer service standards in daily work.
- Participate in training sessions conducted by internal and client SMEs.
- Document and track daily work activities, prioritizing tasks effectively.
- Graduate from a reputable university.
- 3-6 years of experience in P&C Insurance with US medical bill adjudication in a BPO environment.
- Strong computer navigation and keyboarding skills; proficient in MS Office.
- Sound knowledge of medical terminologies and insurance claim handling.
- Excellent decision‑making, problem‑solving, and analytical abilities.
- Good written communication, listening, and reasoning skills.
- Ability to multitask, prioritize, and manage daily workload.
- Self‑disciplined, result‑oriented, adaptable, and goal‑focused.
- Customer service orientation with effective escalation handling.
- Ability to work collaboratively with internal teams and client stakeholders.