Claims Executive

10 hours ago


Mangaluru, India Unify CX Full time
Job Description – Claims Agent

Company: UnifyCX
Location: Mangalore
Job Type: Full-Time
Shift/Hours: Rotational

Who We Are:
unifyCX is an emerging Global Business Process Outsourcing company with a strong presence in the U.S., Colombia, Dominican Republic, India, Jamaica, Honduras, and the Philippines. We provide personalized contact centers, business processing, and technology outsourcing solutions to clients worldwide. In nearly two decades, unifyCX has grown from a small team to a global organization with staff members all over the world dedicated to supporting our international clientele.

UnifyCX is a transformative AI platform that empowers and enables teams to deliver efficient, exceptional customer experiences. We engineer superhuman customer experiences through a powerful blend of strategy, omnichannel support, analytics, and AI-driven tools like GoTalent.AI, Voice of Customer, and automatic QA. Our outcome-based model prioritizes measurable results for more than 200 client programs serviced today. With a focus on automation, talent enablement, strategic partnerships, and strict data ethics, UnifyCX delivers scalable, personalized, and compliant solutions that create real business impact.

At unifyCX, we leverage advanced AI technologies to elevate the customer experience (CX) and drive operational efficiency for our clients. Our commitment to innovation positions us as a trusted partner, enabling businesses across industries to meet the evolving demands of a global market with agility and precision. unifyCX is a certified minority-owned business and an EOE employer who welcomes diversity

Position Overview

The Claims Agent is responsible for processing and reviewing submissions received via USPS, email, and fax. This role requires attention to detail, accuracy, and the ability to escalate issues to leadership when necessary.

Key Responsibilities
  • Process Documents

  • Review and process diverse documents and written correspondence within internal software, following company guidelines and protocols.

  • Ensure all correspondence is handled with accuracy and efficiency.
  • Additional Tasks

  • Support assigned projects and other duties as directed by leadership.

  • Escalation Handling

  • Proactively identify and escalate issues related to cases or class members.

  • Track and follow up to ensure escalations are resolved in a timely manner.
Qualifications
  • Education: High school diploma or GED required.
  • Experience: Prior relevant work experience is preferred but not mandatory.
  • Technical Skills:

  • Proficiency with Microsoft Office Suite and Adobe.

  • Ability to use internal software applications.
  • Communication Skills:

  • Ability to read and interpret documents.

  • Strong listening and verbal communication skills.
  • Advanced English required..
Other Requirements:
  • Comfortable working with confidential information.
  • Strong attention to detail, problem-solving, and organizational skills.
  • Ability to lift/carry up to 30 lbs occasionally.


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    📌 Hiring: Sr. Process Executive – US Healthcare (Claims) 📍 Location: Mangalore | 💼 Experience: 1–3 years 🕒 Shift: US Shift | 🏢 Mode: Work from Office 🧾 Claims adjudication experience in US healthcare required 🔍 Strong in claims adjustments, coding (ICD, CPT, HCPCS) 📚 NSA (No Surprises Act) project experience is a big...

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